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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $, 3d��'` �� Date Received: l���d -qU <br /> Date Approved: <br /> Entered By: i��J�� l <br /> ' Permit#: �J�� <br /> ALL INFORMATION MUST BE SIIBMITTED IN F[TLL HEFORE PI,AN REVIE'�+1 WILL Bl3 STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICAPT IS: (circle one ) OWNER or CONTRACTOR <br /> Jos siTs Annx�ss: a � � ���/�2 ��7 17�?1VE . ziP: SS 3��0 <br /> L�^fl ���� 3 (work) <br /> NAME OF OWNER: ��� M'�S �.Aa�i'p ��-�"��� PHONE: (home)�08�9 i 3 -872-5 <br /> �����o �P�v E. <br /> 1KAILING ADDRESS: (p4 Z �A{NT�,�� �>Pr.i.� CITY: t L�.i n�c,�s ZZP: (pC�� <br /> CONTRACTOR: �.• C��z'� �, � OJC= PHONE: ���-���j Z, <br /> !�IAILING ADDRESS: ��O(!] �(���C� ��t�1� CITY: ��( �� ZIP: S���Q <br /> TYPE OF WQRR: New Addition Accessory Structure Move <br /> Demo Remo e /Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : "F�-�j�1,�Z ��F���1 ��, _ <br /> STORIES: � SQ. FEET OF EACH FLOOR: M��N �.3 Z ( �,���� I 3�O _ <br /> NO. OF BBDROOMS: `T- GARAGE STALLS: ATT. � DET. <br /> $STIMATED CONSTROCTION VALIIATION (eacluding land) : $ � 7 Q, O O� <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 wil 1 be in accordance with the approved plan. <br /> J--r'—" <br /> APPLICANT'S SIGNl�TORE: C'��' DATE: II <br />