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CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> Total Fee: $�/��_ Date Received: <br /> Date Approved: <br /> Entered By: ,Gfl • Permit A: ' /��/(o� <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) � <br /> --------------------------- <br /> TgE APPLICANT IS: (circle one) 0��1NER or CONTRACTOR <br /> Jos si� Annxsss: �fi//� � Om� � i n�'Gt �/Q _ z1P: ��3 D�/ - <br /> (work) ;� D -9��l�D <br /> NAME OF OWNER: %�'" �� ��%�P�� PHONE: (home) '�I7/- �CO�� <br /> MAILING ADDRESS: � �/� ��i/Y1/.t �.("bl�G( t✓(. CITY: Y nC ZIP: 5�,3�O1 <br /> CONTRACTOR: �E-Y�lb 1!� . PHONE: ��'7' ��� <br /> CITY: ' � � � <br /> IKAII.ING ADDR$SS: ,��� �7 /U! L' ���� �L'�2 _ Z IP: 5 ���— <br /> STATE LICENSE: #�0�ID�� <br /> ARCHITECT/ENGINEER: pH��� <br /> MAII,ING ADDRSSS: <br /> CITY: ZIP: _ <br /> N�- REGISTFtATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (aescribe in aetail) : re��1a cem�.r>f �x�c��a�s `� Q� �''��- _ <br /> G�C G�� �U l,f'l 1'Dl,� ��' �l/1�'c��J ��D GL�`:f�-C�G��'�.0 <br /> STORIES:__ S4- F�T OF EACH FLO�R: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $��*�i �"� Gl� — <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 acco ance with the approved plan. <br /> ,�'�, �/) <br /> APPLICAN <br /> T'S SIGNATORF: G� DATE: ��^ / � <br />