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Z 1 � <br /> CITY OF ORONO - BDIZDING PERMIT APPZICATION <br /> Total Fee: $ Date Received:_ <br /> Date Approved: <br /> Entered By: ',�'t/ permit�:_j 7�, <br /> � ALL INFORMATION MIIST BE SIIBMIZT� IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACT <br /> JOB SITE ADDRSSS: 3�� ��T�i ! ��)2C �/e. ZIP: �53 �/ <br /> (work) 3`�'�3-D y/ ,� <br /> NAP� OF OWNER: Sr�vav� JpNN� �iv.vg ,✓ paor�: (home)�]I-77.S�a-- <br /> MAILING ADDR.ESS: 358'7 Nax�-,v ��r 1�TY s ��6�G ZIP: .5�.3 �l <br /> coN�c�roR: ���YyI�' /1 E�L.�'zr7anl�, .�N c , p$ox$: �73 ' S%7.3 <br /> IKAILING ADDRESS: /3�a �iwi�.l.ips l�'�te. ci�r: L..on��--�.��" ziP: SS`3S� <br /> STATB LICENSE: � O�9/3 3 . <br /> ARCHITECT/SNGINEER: PHONE: <br /> MASLING ADDRESS: CITY: ZIP: <br /> N�: RSGISTRATIOA � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /��14Vi4L O� 5T�1/�C14SE Wf1'LL- 7� �z- LN/4"LL <br /> �Jl cA�P . !?�rif a rA�c. �t- �,rPP�2 cA�f3s AD� ��.� s�rn E N�r.� a�l��N�ne-�/ <br /> A01� B�E�I'J=G�S7 F.3/�1�.° , NEvt! �<.c��e✓NG- CC�'2f'�T'f vil�f�(1..�,N£vd W/��NG-• /N z�ooM.S <br /> STORISS: SQ. FEST OF EACS FI�OOR: <br /> NO. OF B�ROOMS: GARAG$ STALZS: ATT. DET. <br /> - � �1�0� �� , <br /> ESTIMATED CONSTRIICTION VALIIATION (ezclnding la.ad) : $ � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. . <br /> APPLIC�NT'S SIGNATQRE DATE: Z l.S� <br />