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� � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ f�/. �� " Date Received: ��/� �9:Z_- <br /> Date Approved: 5 � �`d"`7 2- <br /> Entered By:,�,('�i % Permit�: �' �3(�, <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE P?�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTO� <br /> Jos sz� xnnxsss: I 1 '3�5� L�►jn �,, L-n���c � �r.. Z1P: <br /> (work) `j73• Z23S <br /> N� OF OWNER: �1 `e.i"' h� � �l'' ci.i-Y C!'i �J�� PHONE: (home) �17� ��G� <br /> r <br /> 'cSAILING ADDRESS: S� �� fi r1� ��7GU� CITY: ��N� ZIP: �5��-�, <br /> CONTRACTOR: S Lt �,S � I � E'r'�r PHONS: � �IS O�I <br /> �+iAII�ING ADDRESS: � 1Y.3.� L t� i� c' �i'' T CITY: ,S���c�LL� ZIP: � 'S�%�� <br /> STATS LICENSE: � I �I,� � <br /> ARCHITECT/ENGSNEER: /I!'�/}� PHONE: <br /> :3AILING ADDR$SS: CITY: ZIP: <br /> ��: RBGISTRATION n <br /> '�YPE OF WORR: New�� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �ROPOSED WORR (describe in detail) : -� �X �y U��, �'�r'��>� <br /> S TORIES: SQ. FEBT OF EACH FI,OOR: __ <br /> .�O. OF BSDROOMS: G�GB STAI.LS: ATT. ET.) <br /> J'- <br /> �'STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ , ��' _ <br /> ? hereby apply for a building permit and I acknowledge that the information <br /> �bove is complete and accurate; that the work will. be in conformance with the <br /> o�dinances and codes of the City and with the State Building Code; that I <br /> �nderstand this is not a permit and work is not to start without a permit; and <br /> �nat the work will be in accordance with the approved plan. - • <br /> :'�.;'PLICANT'S SIGNATQRE: �� �1�, DATE: s '"��f'�9,� <br /> 4' <br />