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� CITY OF ORONO - BIIII�DING PERMIT APPLICATION <br /> � <br /> e'�ota1. Fee: $ 1��•�� ' Date Received:�J�..� �9� <br /> Date Approved: <br /> Entered By: ' ���� <br /> Permit�: <br /> pT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PI�N REVIEFT WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ----------------- <br /> T� APPLICANT IS: (circl.e one) OWNER CONTRACTOR <br /> Jos si� Annx�ss: �.��a � �� N G�t��U 1.��'�' zzp: 5 5 v�Co <br /> (work) '�`���C✓�� <br /> NAI�: OF OWNER: �t � ��(�Tl�-- � ���LS PHOITE: (home) ���,�'��a� <br /> ]KATT•TNG ADDRESS: ���� (�F�I 1��L�l���'c' cz�: � �. C�/c� - ziP:_���5 (� <br /> cox�.�c�roR: �o N`� l: i ��i� C4 M-�Pct�� paorrs: �5-'�I �Q 25' 1 <br /> A�ATLING ADDRBSS: ��� �G t��45N I IZ�� �D CITY:� W�.��! �'l. ZIP:,s��"�� <br /> STATS LICENSE: � ��j ZZ� �lUv.r�1�4�'O�i 1��� <br /> �RCHITECT/ENGINEER: ��r�- ���� L I� � . p$orrE: .5��-��I � <br /> �ti <br /> MATT•ING ADDRSSS: '� CITY: — ZIP: � <br /> ��: �- RSGISTRATIOH � � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detaa.l) : a�cxCJ� �� � �u�'� [J���`� (1 ��- <br /> � �v�. � Ci�- � �Gtl �.C� � r@w � <br /> STORIES:_� SQ. FEBT OF EACS FZOOR: /v�7 <br /> NO. OF B�ROOMS:_��" GARAGE STALI�S: ATT.�N�DET.�" <br /> � <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclndinq land) : $ �� � <br /> I hereby apply for a building permit and I ackaawledge that the iaformation <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 /> �hat the work will be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATDRE: DATE: �� 2�' �� <br />