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� '� <br /> CITY OF ORONO - B7ILDI�IG PERMIT APPLICATION <br /> Total ?`ee: $ �� • ':> O Date Received: <br /> Date Approved: <br /> Entered By: ' `� � � ��/ <br /> � Permit�: Y' <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> T� A.PPLICANT IS: (circle one) OWNE_�r CONTRACTOR <br /> � ' ' � f.i" c <br /> Jos Sz� Annx�ss: ��`� -�-ic�.�l�; ��t; 14� lL� � zzp: �� � 3 > C� - <br /> . (work) �-73 5�3 J � <br /> � , • _ <'' / ..,J.,�c�ZG(.t>t� ) ' . <br /> NAML OF OWNER: � ; L � `° , l4 " c / ! PHONE: (home) �t�F�� 7[:�:5.� <br /> MAILING ADDR.ESS: �:�`-� �"�j���-�): f`j�{:5 C�s� CITY: ��r Z,-yL.i�� ZIP: � "_��> <br /> CONTRACTOR: /� �l�-- PHONS: <br /> --T <br /> MATZING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHI TECT�ENGIiJEER: /��/�- PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> NAME: R$GISTRI�TION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /'' �7�»��)��' ftt:�? !�� � /�LCf/J /�(:;c���'� _ <br /> l�L�����1 �i�u�L ,�71�Y ��� � <br /> STORIES: i SQ. FEBT OF EACH FLOOR: <br /> NO. �F B�DROOMS: GARAGE STAI.LS: ATT. DET. ��--,z�.�.� Z�.Z'%��, C`-Z> <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �>L-(i � �iZ-� <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 /> �---�.,. . <br /> APPLICANT'S SIGNATURE• ��. �'�-�l,(..�� �� �� � � DATE s � �� �� <br /> c <br />