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CITY OF ORONO - ��UIL�ING PERM.IT APPLICATION <br /> Total Fee: $ �� � �� �� Date Received: <br /> Date Approved: <br /> Entered By: ' ,� i�t,- � - <br /> Permit�: ` ����� <br /> ALL INFORMATION MIIST B$ SIIBMITTBD IN FIILL BEFOR.E PI,AN REVIEW WIZ�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> � A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos si� �nx�ss: '�'�-�S� ��� ���,�. r�=`��� ��c�D zzP:�����/ <br /> (work) <br /> r <br /> x� oF owx�x: G i';�'C�/��t�l � �� ��l � G Paorr�: (home) �7/ � <br /> r�zzxc �n�x�ss: %d' ��l �.��O,e �-�',�� cz�:�T����� zzp: ������1/ <br /> CONTRACTOR: �� t�O N/��0 6U l;-G�� 5 l PHON$: �i����� �' <br /> MAII,ING ADDRSSS:yY� A ��-(.,_ j L ,� I � , �� ���"�CITY: ZIP: <br /> Cy, <br /> STAZB Z�ICENSE: ���% 7 oZ / <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRESS: CITY: ZIP: <br /> NAME: RBGISTRATION u <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration C/'- Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : �Y�J�i�[.�� �� C 1�,� Z�G(.� S � �� �S ,��1�(u� <br /> STORIES: � SQ. FEBT OF EACH FLOOR: <br /> :70. OF BEDROOMS: G�GE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTIDN VALIIATION (eacluding Iand) : $ �v�Jl�' <br /> I hereby apply for a building permit and I acknowl.edge that the information <br /> above is compl.ete 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 per it and work is not to start without a permit; and <br /> that the work wil 1 be in acc rdance with the approved plan. . <br /> � r ^ r ! E7 _ �� <br /> APPLICANT�S SIGNATURE: DATE:� / <br />