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/* ,c <br /> s <br /> CITY OF ORONO — BUILDING PERM.IT APPLICATION <br /> Total Fee: $��/ �� Date Received: � 'oZ/- -�J.3 <br /> T <br /> Date Approved: <br /> Entered By: ' ,�'�, permit�: ,�3l,�S� <br /> ALL INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE P7�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> TSE APPLICANT IS: (circle one) OWNER o CONTRACTO <br /> Jos sz� Annx�ss: .�D ►� �- ��, zzP: .�5-3�� <br /> (work) <br /> NA1�II: OF OWDTEEt: �(N� ���-l� PHONE: (home) <br /> MAILING ADDR.ESS: �(e� � �� 72 CITY: ���� ZIP: ��� <br /> CONTRACTOR: (�� ���[.ti� PHONS: '�7�-Z.$��/ <br /> IKAILING ADDRBSS: Z�oO � - `Z� /�L-(}',J CITY: �-�u-r'•�1� ZIP: S��G <br /> STATS I�ICENSE: � ���� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> NA1�: RSGISTRATION � <br /> TYPE OF WORR: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ( �nI S?�t T- � ��� �g�-fS <br /> STORISS: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTII�SATED CONSTRIICTION VALIIATION (eaclnding land) : $ �� ��� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is coinplete 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: r DATE: (Q ��,� <br /> d_ <br />