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r, . , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tota� Fee: $ - � -' � ��� Date Received: ��,��z'�� <br /> _ Date Approved: <br /> Entered By: ' k�. . x � <br /> Permit�: � -' `� � <br /> ALL INFORMATION MDST BB SDBMITTSD IN FIILL BEFORE PI�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos sz� xnnx$ss: � Z �� e,q S c d L�2c LC , �,�M� zIP: S^5�:�y/ <br /> (work) C�73^5�OZ9 <br /> x� oF owrr8z• (�of3E1z-T � � �-N �>5 � P$orrE: (home) ��/-�lZiS <br /> � �r m rva <br /> RSAILING ADDR.ESS: ���� �f}SCO C..-I�C-LE CITY: ZIP: ���% / <br /> CONTRACTOR: C�Cv N E � PHONE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: .�l��t r $ F o 2 f3 F�� PHorrE: <br /> AiAILZNG ADDRBSS: CITY: ZIP: <br /> NAME; RBGISTRATION n <br /> TYPE OF WORK: New Addition x' Accessory Structure � Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : F�b5� Ft�o T�N C �k [ oC)N D l�`r��(`{ W� ��-- <br /> Fmu. C-c���.c�c-�ous� A� � �"�'�c� N - <br /> .3TORI$S:�_ SQ. FEBT OF EACH FZOOR: �� S� F <br /> NO. OF B$DROOMS: GARAGB STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� " ""'� <br /> I hereby appl.y 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 is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. . <br /> APPI,ICANT'S SIGNATORE: (� . %QL�Cs�� DATE: � y 2 ��� <br />