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CITY OF ORONO - BIIIZL"iNG PERMIT A.PPLIGATION <br /> tal Fee: $ f(; '� C� Y Date Received: ���,�j`'� <br /> Date Approved: <br /> Entered By: � �� ���`i� � <br /> Permit�: <br /> AT•T• INFORMATION MIIST BE SDBMITTED IN FULI� BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos sz� �Dx$ss: i 3���7 �l�R TI� 1��'I I�� zzP: 5^5 3 (o �l <br /> (work) �y '��-�/ �r� � <br /> y 7� - 4� <br /> N� OF OWNER: IqLL�� �. �t1�/�(�J (ii IS / PHONE: (home) <br /> MAII,ING ADDRESS: � CITY: ZIP:�/���� <br /> J 3� �7 ,�I/U/�i N I�ZN� �� nvw� ��3(0 5! <br /> �.oN��R: .��M /�(� �-� � � PHo�: �� a —� 3 99 <br /> 2dAILING ADDR.ESS: ,��U U �F�.M U/!/T �,��.'c CITY: ���w.ti D ZIP: 5�� 3�d y <br /> STATS LICENSE: � <br /> �RCHITECT/ENGINF.ER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> .,-�: RBGISTRATION a <br /> '_^YPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED woxx (aescribe in aetail) : �}p p i � � �C 3 v' f��C/C 'TD <br /> K�A�2 [?-F I-f c�u S � <br /> uTORIES: I SQ. FEBT OF EACH FI�OOR: I �UU <br /> ;TO. OF B�DROOMS: o�Z GARAG$ STAI.I,S: ATT. (� DET.� <br /> � D(� <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � L�f)�) <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wi17. be in conformance with the <br /> ��rdinances 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 /> _zat the work will be in accordance with the approved plan. .� <br /> APPI�ICANT'S SIGNATIIRE: C� , DATE: /� I 9� <br />