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� � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � <br /> Total Fee: $ `T"LA� �� Date Received: <br /> � Date Approved: <br /> . �- .� <br /> Entered By: - Permit�: �'�' � � � <br /> j�T.T. INFORMATION MIIST BE SIIBMITTED IN FULI. BEFORE PLAN REVIEW WILI� BE STARTED <br /> (See Check-off List Enclosed) � <br /> ----------------------------------------------- <br /> THE APPLICANT IS: (circle one) OL�INER or CONTRACTOR <br /> � Jos sz� p,nnRsss: (3`�d �r�-1 �� �K �� zzr: �'��`l l <br /> (work) <br /> NAME OF OWNER: �pt-r��i �c 1 �d�C'zw S PHONE: (home) `-{�� • 2.8m 1 <br /> MATLING ADDRESS: t �`�U ��''`�-A'2 �� �� CITY: d�nN o ZIP: ��3� ) <br /> CONTRACTOR: W- �F� c N PHONE: U Z� �d�b <br /> IKAILING ADDRESS: ��3 ��E"z►� CITY: ' � 11° �S ZIP: ��.d� <br /> STATE LICENSE: # J�C7'7�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRI3SS: CITY: ZIP: <br /> NAM�: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate�� Land Alteration <br /> PROPOSED WORR (describe in detail) : �1Z�nm�� mV�-°� J ��'i�f� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> � ��O csc7 <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding landl : $ �_ <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 �he <br /> ordinances and codes of the City and with the State Buildinq Code; that I <br /> understand this is not a p . and work is not to start without a permit; and <br /> that the work will be acco ance with the approved plan. • <br />. C ��-�` <br /> APPLICANT'S SIGNATQRE: � � DATE: � � l2 � <br />