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, • CITY OF ORONO - BIIII�DING PERMIT APPLICATION <br /> Total Fee : $ Date Received: <br /> Date Approved: <br /> Entered By: - <br /> Permit�: ��`�� <br /> �LL INFORMATION MIIST BE SIIBMITTED IN FQLI� BEFORE PLAN REVI�T ieTILL BS STARTED <br /> (See Check-off List Enclosed)� <br /> T� APPLICANT IS: (circle one) �or CONTRACTOR <br /> Jos si�$ Annx$ss: 1�2�C� l�aw�c, L.iNa4 /�ve zzP: �53��/ <br /> (work) 311-1�,SU <br /> rn� oF owN�x: Scor-� OcyNA�D uD�LL. pHor�: (home) tl7�-SS/7�j <br /> MAILING ADDRESS: 1250 �-orwc��wr�1 AvP �I�: Y�uN D ziP: 553��/ <br /> CONTRACTOR: �t"1 Q Q S Ot�J he'(� . PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remode /Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe i.n detail) : �\Y��S� �e�''�eY�� <br /> '�y 6A�rl� 2 �ediaa�-�s l'=/��/�%Ra� <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: I3��.t <br /> NO. OF BSDROOMS:�_ GARAGE STALLS: ATT.�_ DET. ' <br /> BSTIMATED CONSTRQCTION VALIIATION (eaclnding land) : $ �'�J�ti/ Oo <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 /> APPLICANT'S S IGNATQItE: �--��'�'"l� J G`x^'� DATS: �'2.�� � � <br />