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Total Fee: , $ Date Received:J�—�� " �j <br /> Entered By`: Permit#: .� o �'� 3 °`�_ <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION � , <br /> E <br /> j <br /> All information must be submitted in. full before plan reviesv w-ill be started. . <br /> (please print all information) . <br /> T�iE APPLICANT IS: � (circle one) O�YNER OR ONTRACTO ' <br /> JOB SIZ'E ADDRESS: �2�� � h� � (�JvZ� ZIP: �S �S� j <br /> �� <br /> NAI�iE OF O��'ER: ��h a�-�c n � (�I J'lc.z.✓1 PHONE: (home)�5 Z-�/7 S- /�3�' <br /> (work) <br /> �IAIL .�i TG ADDF.FSS: ��Y1�- CTTY: ZIP: <br /> SELA��O�E Q E SIOR BEVD.G, ��IC; (�(Z �Z 3- �S�•�Co <br /> CON'I'RACTOR: PFIONE: <br /> C0�1'TACT PERSO�: ' �r� +�nnn�n� �E'n'AGER: <br /> MAILI�'G ADDRESS: _ CIT'S�: _ ZIP: <br /> STATE LICENSE: # /D S O � <br /> ARCHITECT/En'GII`TEER: PHOti'E: . <br /> MAJI.I�IG ADDRESS: CTTY: ZIP: <br /> �TAME: gEGISTRATIO�t# <br /> TYPE OF �VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration _ <br /> PROPOSED'4YORK(describe in detai�: �-'h�+nn.�4 n� M-�X- T�`'�`���� �'`'`� �``��`'� 5 , <br /> / a� L��w✓�� � cx.ravvt� <br /> ���-J c5�l V1C'lC 5 G..�fC'�.l Y1 Lu l�n 0 A�1 f C-2� �2 ) u�.l� . <br /> C�t✓Vl i'�_� � <br /> f <br /> STORIES: SQ.FEET OF EACT3 FLOOR: <br /> NO. OF BEDROOMS: GARA.GE STALLS: ATT. DET. � � . <br /> . � <br /> E,STII-i TA'I'ED CONSTRUCTION VALUATION (excluding land): $ �� � � � � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance wi[h the ordinances and codes of the City and with <br /> the State Build�n� Code; that I understand this is not a permit and work is not to start wichout a <br /> permit; and thac the work will be in accordance with the approved plan. <br /> APPLICA.�'r'T`S SIGNAZ'URE: . DATE: T �- � <br /> � <br /> NOTE! �arade o,�Home� events require separate permit approval by .Police Department and <br /> � City Council 60 days prior to the event. Non permitted events will not be allowed. <br />