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� -�+ <br /> i � <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ -�-�� 7� Date Received: <br /> Date Approved: <br /> Entered By:� ("l�, <br /> Permit#:,�� �,� <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FUt� BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ---------------------- <br /> T� APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> Jos si� AnnxBss: 22C7 ST��BS Bt1Y �c�D t�o�+� zip: <br /> (work) <br /> NAI�: OF OWNER: Ct}�ISTOQ}��"L. � Gi�IL BaL�lS PHONE: (home) q73-SZ$4 <br /> MAII�ING ADDR.ESS: 22o �835 B!�`t RvA�P t�lo�'TH CITY: Op�t}o ZIP: S53z3 <br /> cox�c�roR: �L N I IZSc� � 5 ot-�S I NG, psorr$: q79- 39 0� <br /> �+iAILING ADDRESS: p O, FSo X �3 3 �I�= D ELANo. M i-1 ZIP: 5 5 3 Z� <br /> STATS LICENSE: � I Z�O <br /> ARCHITECT/ENGINEER: S�M� PHONE: �}7 �"�7�0 S <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�g� RSGISTRATIOIQ � <br /> TYPE OF WORR: New Addition ✓ Accessory Stzucture Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSED WORR (describe in detai.l) : CQN 1c�2.-T �(I�"f IN� PORc� To Fk�MILti �M <br /> hP�1� . �D� oN� �t� �Q�1 '�aQ.� ►4' xZ4' <br /> STORIES:�_ SQ. FEBT OF EACS FLOOR: A �lo� , 'T��{,. 1�'L �_J!_� <br /> NO. OF B�ROOMS: GARAG$ STALI�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclIIding land) : $ 3��000 �- <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 Buil.ding 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 /> 1 . `� �e � <br /> APPI.ICANT'S SIGNATDRE:���-t.Cvr,..� 1��,1.� _ DATE: 9 <br /> __�rC�f�1. <br /> / <br />