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� <br /> • CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $�� (o'� Date Received: <br /> Date Approved: <br /> Entered By:�l'�✓ . �e�mit�: �l�� 5' <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE LAIJ REVIEFI WII'I' B$ STARTED <br /> (See Check-aff List Enclos�d) <br /> THE APPLICANT IS: (circle one) OWNER ar CONTRA�TOR <br /> Jos sz� Ann�ass: � ��J l-��' ��S 5� v e e� zzP: Ss� 3� <br /> (work) <br /> NAHII: OF OWNER: �e"� � �r��S�l�a �� PHONE: (home) �4�-`TC1�� <br /> MAILING ADDRESS: Sa�v�e a 5 �1/x��@ CITY: � J'��� ca ZIP: ��L/�� <br /> corrrx.Ac�roR: �'�v� C c�� � ' �v'ev+�l� ��c�`� :�c� paorrE: '�"z2� /�� <br /> 1KAII.ING ADDRESS: a�j O� �7�e � ��+n at fFV •SCITY: � I� � � Z IP: S S- �O�/ <br /> STATS LICENSE s #�� 1 LI�•� i, <br /> ARCHITECT/ENGINEER: <br /> �8 t� � � PHONE: <br /> MATLING ADDRESS: CITY: '' ZIP: <br /> NAME: REGIST'J,2ATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (descri.be in detail) : �2 �f'oo� �1 a� ���� � ��'`r <br /> �n� �v�.�Y` <br /> STORIES: r SQ. FEET OF EACH FLO�Rs <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. 'IDET. <br /> - e� <br /> ESTIMATED CONSTRIICTION VALIIATION (escluding I.and) $ $ 1�l <br /> I hereby apply for a building permit and I ack�j awledge that the information <br /> abone is complete and accurate; that the work willl 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 t�o start without a permit; and <br /> that the work wil 1 be in accordance with the appr�ved plan. • <br /> APPLICANT'S SIGNATURL: �D� �' ` DATE: � ")�'�_ <br />