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`-� CITY OF ORONO = BIIIZDING PERMIT APPLICATION <br /> � Date Received: _;: /� 7 /`�`� ' <br /> '='otal Fee: $ /� �y ' <br /> Date ADproved: <br /> 1 c r � r• C %J`" <br /> �:n�.._ed By:_�' c Perinit,�. .c. � <br /> AT'T• INFOR2SATION MIIST BS SUBMITT�D IN FIILI' B�FORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------- <br /> --------- <br /> __�---------------------------------- <br /> ��iE A.PP�ICANT I5: ( circle cne) OWNLR o CONTRACTOR <br /> Jos sz� �DRass: �/S� Na�Tt7 ,��f�'r`i `D(�IV.� zzP: <br /> (work) <br /> � i 1�G, t', PHONE: (home) <br /> :7AML OF OWNER: `�,A(�� � r� � �"� <br /> ?dATI,ING ADDRESS: �.�� ,�IO�-Tl�' ��`�"'� �l-� CITY: Gr��1`�CJ ZIP: <br /> � P PH�NS: � / 7 ��:��� <br /> CONT�CTOR: �( e.� ��? S� � <br /> MATL=NG ADDRESS: C� � �'" <br /> ` ����� ZV��: �� _.__ ���`�,�- zzP: 5 5 3� I <br /> STATS I.ICENSE: � /��DO <br /> �RCHITECT/ENGINEER: <br /> -�-i, ,.;J:. 'i' , ,,.-, PH�NE: <br /> ?•�AILSNG ADDRESS: <br /> CITY: ZIP: <br /> RBGISTRATION � <br /> N�: <br /> TYPE OF WORR: New Addition�_ Accessory Structure <br /> Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> � /� <br /> PROPOSF.D WORR (describe in detail) :��,�� � � �'���r� f` y *�"^ ��� <br /> � � <br /> �( � :: �� =� ;�{= ry i`'�._ ,� , <br /> STORIES:—�,— SQ• FEST OF EACH FZOOR: �"7'� t � <br /> 2i0. OF BSDROOMS: GARAG� STAI�LS: ATT. DET. <br /> �STIMATED COhTSTRIICTSON VALI7ATION (eacluding la.nd) : $ � �-%-� <br /> = hereby apply for a building permit and I acknowledge that the informatior <br /> above is complete and accurate; that the work will be in conformance wi�ha�hE <br /> ordinances and codes of the City and with the State Building Co ee�it; anc <br /> �:nderstand this is not a permit and work is not to start without a p <br /> ��at the work wil 1 be in accordance with the approved plan. . <br /> APPI,ZCANT`S SIGNATDRE: �� ��'� <br /> DAZ'E: �-° I �� <br />