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" '� CITY OF ORONO :- B�:I,DING PERMIT APPLICATION <br /> / � <br /> Total Fee• $ ,�Jr, �� • Date Received: '7���( '� <br /> Date Approved: <br /> Entered By: �� � permit�: �1� 7 � <br /> AT•T• INgpRMATION MIIST B$ SIIBMITTED IN FULL BEFORE PLAN REVIEW WI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------- <br /> ------_:.---------------------- � <br /> TgE APPLICANT IS: (circle one) O�dNER Qr CONTR.ACTOR <br /> Jos sz� An�x$ss: =��-)�I � �+�-�-�l�-c� �-!,1�� �J I� � 1i �- <br /> ZIP: �� � % �� <br /> ^ (work) ���� �"/���/�� <br /> NAME OF OWNER: � � � `#`�. �-��Z� S S \� PHONE: (home) l�r//-�'���o�. <br /> � <br /> MAILING ADDRESS:• ����� � ���� �- ���L� �'��� CITY: �i�,'-'�"��/��_.��� Z IP: ��� � � <br /> CONTRACTOR: (� � C � C� k' �..�-t�j�. L C° S PHorrE: <br /> MATI�ING ADDRESS: <br /> cz�: v��-U�4-���— zzP: <br /> STATE LICENSE: # <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N��' R.EGISTRATION � <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move�, <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : '7 l� � �� h���� � � � <br /> > I C� L; /�--$`� �l i� ( u �; ; ��� ( , �t ; � �%Li' � k' �, ,��'% <br /> � � <br /> STORIES:� S4• FEET OF EACH FZ�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code; <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 /> _ _, `� � . �/ ��� <br /> � DATE: <br /> APPI�ICANT'S SIGNATURE <br /> _ - � j . <br />