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�� � CITY OF ORONO - BIII�DING PERMIT APPZICATZON <br /> , , / r ` <br /> � �� �� Date Received: � =%� � �� `"' <br /> Total Fee. $ J "�� � <br /> �� . � j -�� '> <br /> � Date Approved : _ J _ <br /> . �, r <br /> ; <br /> Entered By:_ �' � � � �� <br /> � <br /> Permitn: ,� .i� — <br /> 1\JI <br /> ALL INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Encl.osed) <br /> -------------------------- - ------ <br /> --------------------------- <br /> THE APFLICANT IS: ( circle one) 06VNER or CONTRACTOR <br /> __ ___ C�--��'-- <br /> Jos sz� AnDx$ss: /�SS .,�',A�'rs'-.�-��.�s� �'" �c� zzp:_ <br /> Gl�.4y�:�T�t, J�l�11 �S3�>/ (work) <br /> NAME OF OWNER: PHONE: (home) _ �, <br /> . . e <br /> MAILING �Dx�ss- 1755 Fzr emess Pt. Rd. cz�: zT�:_ ._ <br /> yia a, 1 <br /> CONTRACTOR: PH�h�� <br /> MAILING ADDRESS: CITY: ZIP: _ <br /> STATE LICENSE: � <br /> ARCHITE�CT/ENGINEER: PHONE: - <br /> MAILING ADDRESS: CI�: ��P: <br /> NAME: REGISTRATION n <br /> TYPE OF WORR- New �ddition Accessory Structure riove <br /> Demo • Remodel/Alteration Renovate Land Alteration <br /> PROPOSED FTORK (describe in detail) : /✓����v'� q` ���%�f� ����'L� � <br /> � <br /> i � � .'� -� <br /> �€�c��' � � - <br /> STORIES�_�_ SQ. FEET OF EACH FLOOR: ���� _... <br /> NO. OF BET)ROOMS:_� GARAGE STALI.S: ATT. DET. ���c`� <br /> � � ¢ <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $� --� ---- <br /> I hereby apply for a building permit and I acknowledge that the informa�ic;r <br /> above is complete and accurate; that the work will be in conformance with t.i_: <br /> ordinances and codes of the City and with the State Building Code; th�t 7 <br /> understand this is not a permit and work is not to start without a permit ; a:la <br /> that the work will he in accordance with the approved plan. <br /> �- <br /> i, �__ ., <br /> � -- -�, �, -�_z-E DATE: � Z���S� <br /> AFPLICANT'S SIGNAZ'URE:_ <br /> � <br /> l����1U�Z. ;3;�.� <br />