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� <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> _ Date Approved: <br /> Entered By: '1'„�v Permit�:��d.� <br /> ALL INFORMATION MIIST B$ SIIBMITT$D IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos sz� xnnx$ss:�Q�a—�-v� �D�l (.c'�9�b�._ Z1P: ���� <br /> (work) ' , <br /> NAI�: OF OWNERs��� � z�c��n/��� PHONE: (home) '�'/71`���� <br /> PiAILING ADDR.ESS:��/��`�� (�f/ 1dl�D � CITY: � ZIP: <br /> � � �y�� <br /> CONTRACTOR: ,e/,Z -��.�i_�' i�� S1�_� Paorr$: ' �/ <br /> ? `� ��3q/ <br /> MAII.ING ADDRSSS:�����iv/ �6C 1\.!J ��: ZIP: <br /> STATS I�ICENSE: $ DOD��7 � <br /> ARCHITECT/ENGINEER: �G���F� j/v'�/���•� PHONE:���/�J .b , <br /> MAILING ADDRSSS: ��� U�/�il�� CITY: ZIP: <br /> ! <br /> N�fI�� RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :,�"�Gcr/✓,�D 6-47�"��N F�� ���� <br /> � <br /> // , � <br /> STORISS:__���� SQ. FEBT OF EACS FI�OOR:_TZ� <br /> NO. OF B�ROOMS:� GARAG$ STALLS: ATT.� DET. <br /> Qt , <br /> ESTIMATED CONSTRIICTION VALIIATION (escluding land) : $ <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 e S e Building Code; that I <br /> understand this is not a permi nd is t tart without a permit; and <br /> that the work wil 1 be in acco ce ' h t ved plan. <br /> APPI�ICANT'S SIGNATDR.E: DATE• Q� <br />