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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ' �� /, �� Date Received: � � � ' `1�3 � <br /> Date Approved: <br /> Entered By: ' ��;!� <br /> - Permit�: =t`i�j^ <br /> ALL INFORMATION MIIST B$ SUBMITTED IN FDLL BEFORE PLAN REVIEW WILL BB STARTED <br /> {See Check-off List Enclased) <br /> ---------------------------------------------�__�------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTO <br /> Jos sz� AnDxsss: � � (�� ���-Ge`�" zzP: �.�3�z`3 <br /> ����'� �'l � (work) <br /> u <br /> N� OF OWNER: ' �-��i. ONE: (home) ���'���� <br /> MAILING ADDRESS:�,�SS yQ2�C'2 �`�'. CITY � ZIP: SS��-�- <br /> 4 i <br /> CONTRACTOR: . � . .t,' PHONE: �SLS-'���I <br /> MATLING ADDRBSS: �/Q � �rv+~�� CSZ7: �1+455Z,[.� !U ZIP: ���r� 7 <br /> STATS LICENSE: � r�d[,�f �6 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> 1,7�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Mone <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :,���7�! / ��SF�IL u''� L,t ND�� �X�s`t�•��. _ <br /> � I'^f�G R l�pp�E'vX .3�c- '� ��-/ K `L�1 l7�� <br /> us.� , � <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE ST1�LI�S: ATT. DET. <br /> . G'�' ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �[�C�c� + <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 ' s n a permit and work is not to start without a permit; and <br /> that the work wil 1 e i accordance wi the approved plan. . • <br /> A.PPI�ICANT'S SIGNATURE: DATE: � I / � <br />