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, <br /> y CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � / <br /> fTotal Fee: $ ?J �` � � Date Received: <br /> Date Approved: <br /> Entered By: � � Permit�: �o a �� <br /> ALI� INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> Jos sz� Annx$ss: � 9 I 0 S6�ad.c���D�o� Rc��'an� zzP: 55 3�' 1 <br /> �4 Z-�3 N�i(w1� � <br /> (work) �{�I -2��6 ,,,,� <br /> N� OF OWNER: � YI [U � .� � PHONE: (home) '-I'71 - 7 Z75 <br /> �iAILING ADDRESS: ��q� Sh rr _rr,� IZva� cz�= Dronr� zzp: �' SS��Ir <br /> CONTRACTOR: 11 on e PHO�= <br /> MAILING ADDRBSS: CITY: ZIP: <br /> STATS; LICENSE: $ <br /> ARCHITECT/ENGINEER: �-I V c.ttnd,S�'�� //YU�rI ccf S PHONE: �'7 g� �o g� <br /> MAILING ADDRSSS: u .O . �(}X •ZCi(p CITY: �A.Yy�,2_ l ZIP:K��l/�n ,_ <br /> x�: V�c,rba 1�� ' xsGzs�Tiox � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration (�- <br /> T'— <br /> PROPOSED WORR (describe in detail) : �iJC15 1') ✓�tLU �"11 !.v <br /> STORIBS: � SQ. FEST OF EACH FLOOR: /OD O 5G •� <br /> NO. OF BSDROOMS:�_ GARAG$ STALLS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $�0(�0 � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> abone 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 SIGNATDRLr: "� DATE: 7 �y <br />