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��,. <br /> , <br /> CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> • � <br /> Tot�1 Fee: $ �' ^ � Date Received: `�' =� %- % �- <br /> �_ , <br /> Date A roved: � ��� �-'� ' ` ' <br /> PP � -:- <br /> �ntered By: ' �- ' <br /> `� 'T � <br /> � 'i <br /> Permit�: � <br /> A7•T• INFORMATION MIIST B$ SIIBMITT$D IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos si� Ann�zsss: � /� o /bi .,r ���,. J� � x:- Z1P: � S1 � 1 � <br /> (work) <br /> NAME OF OWNER: /►'I, ���' �''���C����a�.�;f' PHONE: (home) <br /> MATZ�ING AnnxEss: �D �S ' cz�: �/`�s�tt% /�� �, zzp: ��� .t ? <br /> CONTRACTOR: �S ` I�' PHONS: <br /> MAII,ING ADDRESS: S',�r,. �f CITY: ZIP: <br /> STATS LICENSE: � <br /> p.xc$z�cm/�czxE�x: �^�/-/- �- �-�'�d r_.} .� �C��� pHorr$: <br /> ��SAII,ING ADDRSSS: CITY: ZIP: <br /> xp,�: RSGISTR�TION n <br /> TYPE OF WORR: New_� Addition Accessory Structure Mone <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : l d .� �� � /f /i�n� S Ec�r'�e r' .���'=� <br /> STORIES: � SQ. FE$T OF EACH FLOOR: �l.� � <br /> NO. OF B$DROOMS: � GARAGS STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �.���? �� <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 SIGNATORE�,�c� /r l ���A�.l� DATE= �"��j •�J � <br />