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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �otal Fee: $ � � 5 , `���_ _ Date Received: <br /> ��� Date Approved: <br /> Entered By: ' � <br /> Permit�: f��(_� �-� <br /> �T•T• INFORMATSON MIIST B$ SIIBMITT� IN FULL BEF'ORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List EncZosed) <br /> -------------------------------------------------------------------------------- <br /> � APPI.ICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos sz� Annx.$ss: (���/� C�e� �� ( /��-1 � zzP: �3�� <br /> � (work) <br /> i _��ME OF OWNER: � �± )f� c�NAn�,/ cs'I���l�� PHONE: (home)�a�j-�/�g <br /> � � <br /> ; :�.AILING ADDRESS: y'y� �/��r . �/�A-�� CITY:ryl��i P�,¢fi•J ZIP: s`v�3.S�(.► <br /> CONTRACTOR: ��� %/c�.n7 �• PHONE: �S�D`7��I� <br /> i��,II,ING ADDRESS: ��d,� f�v//G5L!/�/P� ��IV CITY: �'Lj ZIP:J�S�`7 � <br /> STATE LICEIJSE: � ����Z�.O _ <br /> ARCHITECT/ENGINEER: PHONE: <br /> *SAIZING ADDR$SS: CITY: ZIP: <br /> }��: RSGSSTRATIOR A <br /> TYPE OF WORR: New Addition Accessary Structure Mone <br /> Demo Remcdel/Al.teration�. _ Renovate Land Alterat:.on <br /> PROPoSF•D WORR (describe in detail) : �w)�S� �n��f,.)�5�.� �q��M�T �/�r¢.S <br /> f l� /P� �f iQGE: <br /> STORIES: SQ. FEBT OF EACH FZOOR: <br /> NO. �F BBDROOMS: C:ARAGB STALZS: ATT. DET. <br /> ESTSMATED CONSTRIICTION VALIIATION (eaclnding 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 /> crdinances and codes of the City and with the State Building Code; that I <br /> Lnderstand this is not a perm ' t and work is not to start without a permit; and <br /> t�at the wvrk will be in acc dance w' h the approved plan. . <br /> APPI�ICANT'S SI6NA DATE: g���i� / <br />