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. • , � <br /> CITY OF ORONO - BDILDING PERI�LIT APPLICATION <br /> Total r ee: $ / �r �� � _ Date Received: �� �""� ' <br /> _ � � <br /> Date Approved: /j ' `i.;1 <br /> Entered By: � �� �\ �� �/�� <br /> —T' Permit v: '�- <br /> AT•T• INFORMATION MIIST BE SUBMITT� IN O WII,L BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ --------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> Jos si� �D�zsss: Z.(t�e� C��C� (�? - 1�-/� zzP: S � 3� I <br /> (work) <br /> NAME OF OWNER• � �Cl� `../vW''v 'e� PHONE: (home) <br /> r�zixc �Dx�ss: Z(o Ce � C�r�-S� (� t (Z� cz�: w►�`�� �� zzP: ���`� I <br /> CONTFtACTOR: � C ��� `��t�.vk)�Q�-( PHONE: Y7 �'��E� <br /> MATLING ADDRESS: ZCe4� C�S°C-� �� ' CIZ'Y: W�Z�-� ZIP: S� � ( <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�: RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure � Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � — ��X �, ��"� <br /> STORIBS: SQ. FEBT aF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGB STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ � �Q QU <br /> I hereby apply for a building permit and I acknowledge that the information <br /> abone is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City aad 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 /> �hat the work wiI 1 be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATDRE: ' J .� � DATE: ` U��`� Z <br />