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`� <br /> 1 � <br /> ^ CITY OF ORONO - BIIILDZNG PERMIT APPLICATION <br /> Total Fee: $ �� � ��,���-�� Date Received: )��i�9� <br /> Date P_Dproved: <br /> Entered By: i����_ _ <br /> Permit A: �./ � �/ <br /> A7•T• INFORMATION MIIST BE SDBMIZTED IN FOL.L BEFORE PI�N REVIEW WII�L BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE�or CON'I'�.ACTOR <br /> Jos sz� �Dx$ss: '��J �i y�l��y) �t� � zzP: ���;��� <br /> (work) <br /> / /� � PHONE: (home) ��O -�Z <br /> NAML OF OWNF.R:`�(�,�/V (7 LP�1�� �T <br /> �� � �er Y4-u � �-. <br /> 1KAILING ADDRESS: � L_ir1 , cz�: ���'-�,L'��'�>�) zIP: �:����� <br /> CONTRACTOR: P$��' <br /> MATI,ING ADDRESS: CIZ7: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION $ <br /> TYPE OF WORK: New Addition Accessory Strncture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED wo�x (describe in aetai�) : /2{,�/��P GIG� ��'�'1�y� `�v�'� �� ���'�� <br /> � <br /> �;� U �� �� �,r�0 C`�'���L C����c. — `�' rf�r�r , . <br /> � <br /> STORI$S: SQ. FEBT OF EACH FLO�R: <br /> NO. OF B$DROOMS: C-�RAGE STAISS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALI7ATION (eaclnding Ia.nd) : $ ,`'� -' _ � � _ _ <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 accordance with the approved plan. <br /> • -� � (�� <br /> APPI�ICANT'S SIGNATIIRE:��- ��'� � ��O�'� DATE: G� r- � � /� <br /> C� <br />