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� ' CITY OF ORONO - BQILDING PER2riIT APPLICATION <br /> Tota1 Fee: $ <br /> �� ` � � ' Date Received: � rJ�.L.�i L--- <br /> � Date Approved: <br /> Entered By: ' c-: � ; <br /> Permit�: �����, <br /> AT•T• INFORMATION MIIST BS SIIBMITTSD IN FULL BEFORE PI,AN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------- -_--�--�-------------------------- <br /> � APPLICANT IS: (circle one) OWNER or CONTRACT <br /> Jos sz� AnDx$ss:� 1�,4� �� j I`� � �'� n �.t_ zzP: �-�,.5�3� � <br /> t work) LT'�f - �'��l`� <br /> NAML OF OWNER: �j� +�l ����r PHONE: (home) ���� <br /> I�iAILING ADDRESS:��( �Z�1 V � CI�: �'�L� n►Q ZIP: 3 3 <br /> CONTR�CTOR: PHON$: <br /> MATLING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ?�RCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS': CITYr ZIP: <br /> ;���: RRGISTRATION n <br /> `�YPE OF WORX: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> � <br /> PROPOSF.D WORR (describe in detail) : Q E 1�Q 1�� ��51.,,51i Au vl�r � <br /> � � � � � _ <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> A;O. OF BBDROOMS: GARI�GS STAI.LS: ATT. DET. <br />:STIIriATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> T_ hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wil.l 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 accordance with the approved plan. � <br /> � <br /> APPLICANT'S SIGNA � DATE: � �'��� <br /> i <br />