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.r•. <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII..DING PERiVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> " (please print all inforntation) � <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB SITE ADDRESS: � S k.� l✓ Z�� '�f��� <br /> NAME OF OWNER: PHONE: (home)��f'? •S!7T�$�72 <br /> (work) <br /> 1�iA1LING ADDRESS: G' S �' �Q CTTY: ai'rr,� ZIP: S'f391, <br /> � � PHOi�TE: /�.� ��f�S 3/7S <br /> CONTRACTOR: ' d I�/'� 9►+ <br /> CONI'ACT PERSON: �lZ(,1 ih..s� �' ILE/PAGER:f,%_��s 6',vy <br /> MAILING ADDRFSS:/9>l.,f ��4"� �(u- .JV CTTY: ZIP: S--'�'� <br /> STATE LICENSE: # 2 G 2 7osy�i <br /> ARCHITECT/ENGINEER: PHO\'E: <br /> MAILi�i TG ADDRESS: CITY: ZIP: <br /> Nt�ME: REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �- Land Alteration <br /> PROPOSED WORK(describe in detai�:��-- �-/'�,' � � <br /> � <br /> s ' .0 r� ^ '' -r g' <br /> STORIES: ' SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT:�R • DET. - - - = - <br /> ESTI�i IATED CO�'STRUCTION VALUATIO\ (excluding land): � �2 �Q. cv <br /> I hereby apply for a buildin�permit and I acknowled;e 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 Buildina Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with ihe approved plan. <br /> ICANT'S SIGNATURE:, DATE: �/ � �Gri <br /> APPL - <br /> NOTE! �rade of H'omes 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 />