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�� <br /> � . <br /> . CZTY OF ORONO - BIIILDING PERMST APPLICATION <br /> To'cal Fee: $ J:' �� ' / <% Date Received: ,5�- 5�' �..Z <br /> Date Approved: <br /> Entered By: '� -, <br /> v <br /> Permit�: �-�� �� �-� <br /> AI�L INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> TSE APPLICANT IS: (circle one) OWN or CONTRACTOR <br /> Jos sz� AnDxsss: /.�?� C`����Y Ci���S'c'- .��'►✓� Z1P: :SS.�.-�'�� <br /> (work) ''7�7�' ��a� <br /> N� OF OWNER: %�1G� �A1�,,, l��� PHONE: (home) t'l7� �y�.�,,,1n <br /> MATLING ADDRESS: �,;2� �� ��`�-•�-�c��/)� CITY: �` ZIP: s�"��3y1 <br /> ������� <br /> cox�c�roR: �EL� pHo�= <br /> MATLING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: ,� <br /> ARCHITECT/ENGSNEER: /�lT ��i0n'I �• l�1'�� ���t� PHONE: y�o�—1,�J'� <br /> i�AII,ING ADDRSSS: CITY: ZIP: <br /> NAI�: RBGISTRATION x <br /> TYPE OF WORR: New Addition Accessory Structure � Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /Ql�-� � %� x ��j ��E'�� H�'�S� <br /> �7`_o c.��3�- s�,r��, c}� ,�<!s� � T �.�.�� ��'�-� <br /> STORSES:�_ SQ. FEBT OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGS STALLS: ATT. DET. <br /> ' 00 <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ ���.� <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 is not a permit nd work is not to start without a permit; and <br /> that the work will be in accor ce with th approved plan. � • <br /> APPLICANT'S SIGNA � ��� /�� DATE: �� 5-'���— <br /> i <br /> � <br />