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'j <br /> - I <br /> Ts�tal�e: $ � ��J'� Date Received: � <br /> i <br /> Entered By: Permit#: /C: �� � � <br /> CITY OF ORONO - BUIIIDING PERNIIT APPLICATION ; <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � � . <br /> JOB SITE A.DDRESS: J ��(�' �j �f�,�t�'T(�� �� ZIP: <br /> � NAME OF Oti'VNER: � `1' � I � /L� �; S PHONE: (home) " <br /> (work) <br /> MAII�ING ADDRESS: %7 ����j��,�-��c:��� I�crrY:��',� , o z�: �: : ; <br /> I <br /> "�-. ' i <br /> CQl`I 1 i\t>C 1�R: � r Ptl�l\1.�: ������ � <br /> COti'TACT PERSON: � U MOBILE/PAGER: � i <br /> MAII��G ADDRESS:�7�� I—�EvvGF� L��-,�CITY: �l�tJp �z�Tt� ZIP: 55.3 / � <br /> STAT'E LICENSE: # ZDOZc���' <br /> ARCHITECTlENGINEER: PHO�tE: <br /> �iAII�ING ADDRESS: CITY: ZIP: <br /> I�iAME: REGISTRATION# <br /> TYPE OF tiVORIi: New Addition Accessory Structure <br /> Move � Remodel/Alteration �C Land Alteration <br /> 7-- <br /> PROPOSED SVORK(describe in detain: �4EJi7 j�oi2 lN �,'i��� <br /> STORIES: SQ. FEET OF EACH FLOOR: � - <br /> NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET. <br /> � <br /> . �o _ <br /> ESTII�iATED CONSTRUCTION VALUATION (excluding land): $ ��. <br /> I hereby apply for a buildin�pemut and I acknowledge that the information above is complete and <br /> accurate; ihat the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin� Code; that I under n� this is not a permit and work is not to start without a <br /> permit; and tha[ the work will be ' acc�dance with the ap roved plan. <br /> APPLICANT'S SIGNAT'URE: (� t DATE: 7 -Z� — 5�g <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> � City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />