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� <br /> � _ CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> . <br /> Total Fee: $ '�:' Date Received: f' � �' <br /> Date Approved: <br /> Entered By: %�`�. <br /> Permit�: ��_r;;,�< <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OW'NER or CONTRACTOR <br /> Jos sz� AnDx�ss: �1y 55 �'0�2�T c.�-r�L �,4-iv/�i�v6 zzP: <br /> (work) - `� ` - <br /> N� OF OWNER: ���%r-'�' � � ���'' �i� " f ��-� - PHONE: (home) - � ' ��'�/ <br /> . <br /> � <br /> MAILING ADDRESS: ��`�`- ` � r, - - � :- r;.�� CITY: / 4 - .'� i ZIP: . <br /> CONTRACTOR: _ `- , �� �.1�' F � :•� PHONE: - � ,. � , :- <br /> MAILING ADDR.ESS: .-- `. ` -, / ' � ; : CITY: ZIP: ;7`>' �, <br /> r.�,�� `�',�� �. <br /> STATE LICENSE: � -�(��� �= � <br /> � , <br /> ARCHITECT/ENGINEER: ����F�_ '� < .- PHONE: <br /> MAILING ADDRESS: ��� �'`��i'� J�'' � ,,� = �'�i � �CITY: / r >;Z�; , ZIP: � , j <br /> N�yg: REGISTRATION # '� `i���` <br /> TYPE OF WORR: New Addition� Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � <br /> PROPOSED WORR (describe in detail) : �� �'" "�� r''�-' � �'�`��-�+ �,'`'� <br /> , '�� �' '� J i�"._ ''`;i � .-. _ ,_ � � � rL. <br /> �-,. <br /> t-�• ._ <br /> STORIES: SQ. FEET OF EACH FLOOR: � /- <br /> NO. OF BEDROOMS: � � � GARAGE STALLS: ATT. / : � �: DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ��"� �-�� c •- � <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 a-Ecordance with- the _approved plar.i. <br /> APPI�ICANT'S SIGNATURE; �� � �=: . ._ .�..,,�-v j DATE: �`� ' � -` _ - -- <br /> . <br />