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' CITY OF ORONO - BIIILDING PER�LZT APPLIC�TION <br /> ^otal r ee: $ ��i`� -Z �= _ Date P.eceived: <br /> Date P.��rove8: <br /> Er.tered By: ��/ • <br /> Pe*�it� r �j �� <br /> AT.T• INFORMATION MIIST BE SIIBMITT� IN FULL B�FOR.E PZ,AN REVIEW WII�L B8 STARTE� <br /> (See Check-off List Encl.osed) <br /> -------------------------------------------------------------------------- <br /> Tgg p,ppLICANT IS: (circle one) OWNER r CONTRACTOR <br /> Jos sz� �Dxsss: � �6 /Y OQ�T�.� �"1 �c- }ur�.� � Z1P: S'S3S� <br /> (work) �7�3 --S�-a,�-- <br /> *7� • <br /> F oWNER- v 'S' PHONE: (home) �7(0 '6S'7� <br /> :�AILING ADDRESS: � C9-yr�� CI�: ZIP: <br /> CONTRACTOR: C�r�._� P$��" <br /> �AII�ING ADDRESS: �� CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHSTECT/ENGIIJEER: � fy-� PHONE: <br /> !dAIZ1ZIG ADDRBSS: CITY: ZIP: <br /> ���: R.SGISTRATION a <br /> ':'YPE OF WORR: New ✓ Addition Accessory Strnc�ure� Move <br /> DemoJ� Remodel/Alteration Renovate Land Alteration <br />�ROPOSED WORR (describe i.n detail) : K o.� � Q�sQ� � � � � � � �� �� <br /> � O <br /> +�..s �.,�0 /�` �. /�o � ,�.,�.Q�.( - <br />�'�TORSBS:�_ SQ. FEBT OF EACS FLOOR: /7� � <br />�30. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> " CJ D <br />'STIMATED CONSTRIICTION VALIIATION (eacludinq Iand) : $ l 7 G C� ' <br /> hereby apply for a building permit and I acknowledge that the information <br /> bove is complete and accurate; that the work will be in conformance with the <br /> =dinances and codes of the City and with the State Building Code; that I <br /> �derstand this is not a permit and work is not to start without a permit; and <br /> zat the work will be in accordance with the approved plan. . <br /> .PPLICANT'S SIGNATURE: DATE: `7^ �3 �'y3 <br />