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� <br /> . , ��'� �'F /1 � �, <br /> Total Fee: $ <br /> �`� Date Received: �v -, ��� �-I <br /> Entered By: ��,►�(�Q Permit#: � ( �-- / - �`�� <br /> � <br /> CITY OF ORONO - B G PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> " (please print all information) <br /> -------------------------------------------------------- -- - ---------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE �OR CONTRACTOR <br /> JOB SITE ADDRESS: � �� � ��S ( �j 1� L,.ti ZIP• �.� 3 �' <br /> S 2 <br /> NAME OF OWNER: � � �L�� PHONE: (home) � 7�— �z�� <br /> (work)�CS�z ` ?S�I.S-' T�UG � Z6S— <br /> MAILING ADDRESS: /3�0 G�i�T �t:v� �.c� CITY: ��2-C�R�C? ZIP: ,S S 3� � <br /> CONTRACTOR: PHOiVE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHOl�'E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAlVIE: REGISTRATION# <br /> �� �TYPE OF WORK: New Addition Accessory Structure ' � <br /> Move Remodel/Alteration Land Alteration �, ' �'��?r��- 2 <br /> _-_��G�U �G� - <br /> PROPOSED WORK(describe in detai�: l��L L f� ,J��� S � ���' �c'� <br /> 'Ff)� �1 U/S�= /�lJ {� t�.�A 't-� 12 Ce�•cl 'j12.c:�C. <br /> ��� �� <br /> STORIES: SQ. FEET OF EACH FLOOR ,�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State �uilding Code;_that I understand this is 't and work is not to start without a <br /> permit; and that the w ill be i�r`aee an wi the ap�roved plan. <br /> APPLICANT'S SIGNATURE: ' � DATE: � � l 7 ��' <br /> NOTE! Parade o,�Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />