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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee• $ ' �l_ �:•=� _ " Date Received: �� - ,� �l `y� _ <br /> Date Approved: <br /> �ntered By: � ���i _ <br /> ' P ermi t�: '��s�`:»� <br /> ALI, INFORMATION MIIST BE SIIBMIT'�SD IN FUI�L BEFOR.E PLAN REVIEW WILI, B$ ST�IR�ED <br /> (See Check-off List Enclosed) <br /> T� APPI�ICANT IS: (circle one) WNER r CONTRACTOR <br /> Jos sz� �nxsss: a o �4 o tJ S �, o�- b r"► v � zzP: 5 S 3 9 I <br /> (work) <br /> x� oF owN�t:����-�- a,�d L o�r�r,a � c`�� Lks o� pHoxE: (home) �1 �-1 O S � <br /> �zixc AnDxEss: ao � o N .S �,oc�� �r. �I�=W e.uT o--� o� zIP: S 53°► � <br /> CONTRACTOR: v r�c,.c_�-�a� n C'n o..� c�o So m c. o v r5<<V� S _ pH��= <br /> P\v Mb'.nc� w'.�l 1�� �o r�-4-r o-�-�c <br /> �SI�ING ADDR.ESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEF.FZ: PHONE: <br /> ?�AII.2NC- AI?�RESS: CITYs ZIP: <br /> ��: REGISTRIITIOA u <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land AZteration <br /> ?ROPOSF.D WORK (describe in detail) :�V�}- T (�o�\�S w�'��� n e.X�IS�-i nG `�rA � <br /> I a a ,��.�k- � � ���5�+ +o <br /> rooM -�o C-rco--� c � mo �c �c�.r ms a.r.c� �3�`F ��'1�• �crb-s�k ee-�,c��m S�'�-� c. <br /> �� r�5�-o-�� �`v n.��� r�q -F c r 0.��'o mo.-�- � c, w osl,�ha� rr�a�i��nc ��n e X i S�-i r�q C._� o Sc._'E. <br /> STORISS: � SQ. FEBT OF EACH FLOOR: 07 $O O <br /> ?i0. OF BBDROOMS: a- GARAGE STI�LLS: ATT. ,3 DET. <br /> ESTIHATED CONSTRIICTION DALIIATION (eaclnding Iand� : $ 3 O o O <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c will be in conformance with the <br /> o�dinances and codes of the City and with the State Building Code; that I <br /> Lnderstand this is not a permit and work is not to start without a permit; and <br /> t�at the work will be in accordance with the approved plan. � <br /> APPI,ICANT'S SIGNATDRE���.,.. UI" - � , � DATE: �y'a3 �C( Z _ <br />