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� • <br /> ' CITY OF ORONO - BIIILDING PERP+IIT APPLICATION <br /> Total Fee: $ a��-�� Date Received: <br /> Date Approved: <br /> Entered By:P� permit#: `�35�5' <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEF'ORE PLAN REVIL�'fd WILI� B$ STARTED <br /> (See Check-aff List Enclosed) � <br /> --------------------- <br /> TSE APPLICANT IS: (circle one) O�+TNER r CONTR.ACTOR <br /> JOB SITE ADDRESS: �-�oO 1�J�� ����-� �� ZIP: �� � � <br /> (work) ��� - ��1d <br /> NAME OF OWNER: N���S ` -I�r�C [��.� ���� _ _ PHONE: (home) ' � DS <br /> M�iII,ING ADDRESS: � ��I'<��-1 8 �'-� ITY: �� 1J� ZIP: `���� � <br /> cox�,c�roR: �d���S ��-r��5 o ti1 s(� psorr�:q�S - �(�g� <br /> 1KAILING ADDRESS: �c��"1 � �l'P � �`t� CITY: ��-TC�l�� ZIP: �J`�.�g � <br /> STATE I,ICLNSE: # 1 �IJ e���7 `� � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> D�a Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in.detail)�p��o�l E. '��`�- �l�e�' af q-S A�.a�t ��l�l���°S � <br /> ` �, �6 o r E u� �. �� r <br /> � � �1� -e�� � <br /> ���' � � (°I�r+ p � 2�.mD�e� �-� �� a l� S i�'�n51� -1D d�e ��t- a� d�,u��.�-.�/ <br /> STORIES:__ SQ• � OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�GE STALI�S: ATT. DET. <br /> EST7.IKATED CONSTRIICTION DALIIATION (egclnding Iand� : $ ����` D � <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 will be in a cordance w'th the approned plan. • <br /> APPI�ICANT'S SIGNATURE: <br /> � DATE: � � � <br />