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� <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: � �/ <br /> Permit�: '��`7`% <br /> A�L INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) 0 ER or CONTRACTOR <br /> Jos sz� AnDxBss: % `� / �� /,1��-f; ;�-i / i ,-- � �' zzP: �� -j � I <br /> (worx) �7 7 :J ��/ <br /> N�ME OF OWNER: � � � l.S (�,/ .. /J C- �, r, f� PHONE: (h ome) `i / S � 3 � �/ <br /> r�zixc �nnxEss: � l �b �-� (,-�' 1 ��� C� c'�" cz�: �"��1 Z�l �� zzP: S s .3 � I <br /> cox�cTox: � 1`�� 1 r paorr$: <br /> MAII�ING ADDRBSS: CITY: ZIP: <br /> STATS LIGENSE: � <br /> ARCHITECT/ENGSNEER: S�� � I � PHONE: <br /> MAIZING ADDRBSS: CITY: ZIP: <br /> rIAME: RBGISTRATION � <br /> `�YPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ZN S T/� � � /� 1` ��1 w /�i�r C�l C�,.J <br /> /��G ' 1�� � � i� �� �� <br /> ;;TORIES: l- SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS:�_ GAR1fGB ST�LLS: ATT.� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ S � v '� �� <br /> i hereby apply for a building permit and 2 acknowledge that the information <br /> sbove is complete and accurate; that the work will be in conformance with the <br /> �rdinances 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 /> :nat the work wiI 1 be in accordance with the approved plan. , <br /> , � � <br /> ��� ; <br /> PPLICANT'S SIGNATURE: '� ��-�' / ����� `J DATE: l� � �i n� <br />