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.• s <br /> CITY OF ORONO - BIIZ7,DING PERMIT APPLICATION <br /> Total Fee: $��.C�,d Date Received: ���1�+,/ <br /> Date Approved: ' <br /> Entered By: ',�'�J <br /> Permit�: �D33 <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FULL BEFORE P?�AN REVIEW WILI� B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> Jos si� p,nnx�ss: /�QC� �y'�`�/� ,%v�, ziP: 553�1 <br /> (work) <br /> N� OF OWNER: �A.����'""'' /�J/`A�� �A1�K�l�SCi/ PHONE: (home) �3 093'L <br /> 1�SAILING ADDRESS: /v9'c� ��i'/?19h �C� . CITY:��PJ!'1� ZIP: SS�� <br /> CONTR�CTOR: ��/'l�f� /�J`F�-�!'I �O!!�&=S /�L. PHONS: �S c�/c� <br /> MAILING ADDRSSS: ��� So- T�ia9rwA� ci�: /�,9��•9�A ZIp: SS34/ <br /> STATS LICENSE: � �L{S� <br /> ARCHITECT/ENGINEER: T,j�/G��,Q PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> NAL�: RSGISTRATION � <br /> TYPE OF WORR: New Addition � Accessory Strncture Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : .7�� �' �7�`�=n �0��— �9DD/>'/�� <br /> u��>-iy+- G"�/7/7���r>n "TJ G��-,•r'//'I� ��G.�� <br /> STORIBS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGB STALLS: ATT. DET. <br /> - o� ' <br /> ESTIMATED CONSTRIICTION VALIIATION (ezclnding land) : $ / /, JQ� <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 wil 1 be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATQRE: � DATE: �//7/��� <br />