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� - , <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MDST BE SIIBMITTED IN FULL BSFORE PLAN REVIEW WILL BE STARTED <br /> --------------------------------------------- ��--------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR� <br /> Jos sz� Annx�ss: /(,�f 5" �/�;��.��:v�( �r�-li%/ ,��: Zzp: <br /> (work) <br /> � �' �� <br /> N1�ME OF OWNER: ,�� � G �� PHONE: (home) <br /> MAILING ADDRESS: �U Y`� ���e cuc�., �)�C� CITY: DJ�C� ,''11�� ZIP: <br /> CONTRACTOR:�T,��� ,�. �c� ��,�� PHONE: �/�%��- ��:�-C-� <br /> MAILING ADDRESS: 3cJ�/ � . y�r4� v� S � CITY: �� ���iCGf,�a� j ZIP: SS�j7� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �'�'�`�j <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGS STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALUATION (excluding land) : $ �0, �� �' �� <br /> I hereby app ly for a bui lding 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 �ermit and work is not to start without a permit; and <br /> that the work will be in acco ance with the approved plan. <br /> � / �1 <br /> APPL �/�� TE: l''�'' G' <br /> I CANT S S I GNATQRE: �-� DA �C/ / <br /> (Please ill out the reverse side of this form) <br />