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CITY OF ORONO - BUII.DING P�2t-i1T 11PPLICATION <br /> Total Fee: $ �� �• y�/ . Date Received: <br /> . i� Date Approved: <br /> Entered By: ' <br /> Permit�: (� -� /� <br /> AI�L INFORMATION MIIST B$ SIIBMIZT� IN FIILL BEFORE PLAN REVIEW WII�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------- <br /> ------------------ ----------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> Jos sz� x�DR�ass: I�-l0 Fx�+� Po�,•�r �� Z1P: 55391 <br /> (work) �4-o3Z(v <br /> NAML OF OWNEFt: MI�IJP�IC� � W�E1��- PHONE: (home) <br /> MATLING ADDRESS: ��-20 6oN1�i � �i7 CITY: ORo1�Ta ZIP: �53a1 <br /> CONTRACTOR: eSW��Yr-- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: ���1�N T. �1��-- PHONE: 'S�Y4, • 3�Zi�'i <br /> MATLING ADDRESS: lalU�1 ��7�� �'�' CI�= Mn�, ZIP: 5'��-v-� <br /> N�,g,r: S�1I� �j,G(�-TEL� RBGISTRATION n �p( 94� <br /> TYPE OF WORR: New Addition_� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> PROPOSED WORK (describe in detail) : -b'pD l�tX 17� �0- S�� �n1,'T1,sN �� <br /> �,a�►4t�E'CE �UD w `Ru►� A�•» ��� F3�.c�c. E�c tST. S 1�-1'�F•E <br /> STORIES: SQ. FEBT OF EACH FZOOR: <br /> NO. OF BEDROOMS: GARAG�S STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ t'Z,� <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 and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATDRE: � DATE: 8��OI �'1 <br />