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I` y � <br /> ` CITY OF ORONO - BUILDING PER�LIT A.PPLICATION <br /> Ta-cal Fee• $ ��. �`� Date Received: J'� ' �a" 9 a- <br /> Date Approved: <br /> Entered By: ' ,�iC.� permit�: '� �2 7 <br /> AT•T• INFOFtMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPI�ICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos sz� xnDx$ss: a-c �--\ �; � ►=i N S i�t c�`= ��. � v r� zzP: � `�> � �' <br /> (wo rk) v}-12 - �` �= �-I <br /> x� oF owx�z: p � � � �- St-I � : 1_��;� h-� �. Lv;��.� ; PaorrE: (home) �-'7 Z.�- �4-6� 3 <br /> �zzx� AnnxEss: �#-c> �i- I n� � . � H � F � DaZ,. cz�: 1�`1 � �i �; ��� zzP: � � �3 � �- <br /> CONTRACTOR: M �'i'� � ;=, L � PHON$: <br /> IKAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: ' PHONE: <br /> �iAILING ADDRBSS: CITYs ZIP: <br /> N�ME: RBGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure ��=l{ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : /�� � L '�.i7 ,� �. � ��- �. G h�,' ti� �'1�� <br /> � s"i ;�.. �.� i� s ► � �=� t� � I-i� �,' s� �� ��� �� �X � s i� �; �r �-�� �,' �-,2�"l� <br /> � � \ 1� � ��i� � = G � -.� � ��j� ,? ; P .�i ► � D�� � �'�� <br /> STORISS: SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STALI�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaCludiIIg land) : $ �- � �' r-" <br /> I hereby apply for a building permit and I acknowI.edge 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 will be in accordance with the approved plan. � • <br /> APPLICANT'S SIGNATII�L: ` L..��u� f.' � c� DATE: � L �Z - <br />