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1 <br /> � " CITY OF ORONO - BIIILDING PFRM.ZT APPLICATION <br /> Total Fee: $ /�G / , /� Date Received: ��a-�3 <br /> Date Approved: a'02 3 - �'/ "�'> <br /> Entered By: ' � � '/ <br /> Permit#: 79 ��' <br /> ALI. INFORMATION MIIST B$ SIIBMITT� IN FDLL BEFORE PLAN REVIEW WILI� B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> T� APPLZCANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos si� �,nnRsss: i�go �NA�o�/w�b p 2� zzP: �S 3 g 1 <br /> (work) ��1 —Z��3 <br /> NAI� OF OWNER: R +�-�f�R'D � DtLa`2/� L. i y`"'r'L� PHONE: (home) �f�/ - �8`1� <br /> 2SAZI�ING ADDRESS: !S 9 0 5}4�}.��{ I,��aoo �D, ciz�: �v�4 Y`ZA-vri� ziP: S�'3 9 l <br /> CONTR�CTOR: ��'N t� PHONS: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> STATS LICEIJSS: � <br /> ARCHITECT/ENGINEER: ONINE�Z PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> NAML: RBGISTR�iTION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�� Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : ��o��L Ma�Ep� '(3A�tH(�c�oNl (�St� <br /> 1��l��N�D s K-�7�-1�� <br /> ��,��'Az.i!our� <br /> sTOR.tss: 1 sQ. FE$T OF EACH FZOOR: N1A�a L,��E L° �2,��S� ��a .� l o oc� <br /> NO. OF B�ROOMS: ,j GARAGB STALLS: ATT. X DET.� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezclndi.ng land) : $ �) �a� <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 accordance with the approved plan. <br /> s � Ll <br /> APPLICANT'S SIGNATORE: �"�`� ° e DATE: r Z Z �3 <br />