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, CITY OF ORONO - $UILDING PERMIT APPLICATION <br /> Total r^ee• $ ,)��' %� Date Received: �/.����5" <br /> Date Approved: <br /> Entered By: � ,��"'' � ,/ <br /> Permit�: 1�!'7 <br /> AT•T• INFORMATION MIIST BS SIIBMITTSD IN FIILI, BEFORE PLAN RES7IEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------�•------ ---------------------------- <br /> � APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> Jos sz� x�DxBss: '3I 3 � �� -,�� � zzP: 5���' / <br /> (work) <br /> 2��ME OF OWNER• li�` � '"'"""'��- PHONE: (home) � 7�` l S�'�' <br /> Z�.AII,ING ADDRESS: �G�-�- CI�= ZIP: <br /> CONTRI�CTOR: c� � PHONS: �f 7 l " C� � � Z <br /> iAII.ING ADDRESS: y y� � ��t,���-�� �1-CITY: � ZIP: 5��� �`� <br /> STATS LICENSE: � �rS ��� <br /> �RCHITECT/ENGINEER: CA.'Y --r�^-� PHONE: <br /> h?ATyING ADDRBSS: ' CITY: ZIP: <br /> ��: R.BGISTRATION A <br /> `�'YPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �— <br /> PROPOSED WORR (describe in detail) : �� ��[�1� �uu�( "��i^. � �'�- �✓�'`�{���� <br /> i� r c%L-� - <br /> STORISS:�_ SQ. FEST OF EACH FZ�OOR: �G'�-? <br /> :�d�. �F B$DROOMS: '— GARAG$ STALLS: ATT. '- DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> � hereby appl.y for a building permit and I acknowledge that the information <br /> sbove is complete and accurate; that the wor3c will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> snderstand this is not a permit and work is not to start without a permit; and <br /> ��at the work wil 1 be in accordance with the approved plan. <br /> r <br /> APPLICANT'S SIGNATIIRE: DATE: � <br />