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'./ ,. <br /> Total Fee: $ 1 � €�� " Date Received: �� /S% `�� <br /> Entered By: , Pernut#: ,'• � �`�,�' <br /> ==T <br /> CITY OF ORONO - Bi.TII..DING PERMIT APPLICATION <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) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: � �90 �'�.�w�o� �rP: �3 �'/ <br /> NAME OF OWNER: �O�/��� v���•c.PHONE: (home) �7l'-d�7.3 <br /> (work) <br /> MAILING ADDRESS:�79a J��`��'�� CITY: G�^��v ZIP: 55���/ <br /> CONTRACTOR: ��52"��'�v' �����'�'-�HONE: S�S 7- o�6 8 <br /> CON'TACT PERSON: �,,Z� �,�6A�OBILE/PAGER: �7� /?L 7 <br /> MAILING ADDRESS:/74��v'E�"'��' CITY: �'��oL-�/ZIP: ���5��'i'' <br /> STATE LICENSE: # 2�0�`�5'�� <br /> ARCHITF,CT/ENGINEER: ����- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1�IE: REGISTRATION# <br /> TYPE OF WORK: N�w Addition �ccessory Structure <br /> I�1ove Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: .��'�*�'� ���o��G-�' ��T�� <br /> ..r �i5 T�-tz •�-� <br /> � <br /> STORII:S: � SQ. FEET OF EACH FLOOR: ���� -� '� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIRZATED CONSTRUCTION VALUATION (excluding land): $ �000�- <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 with the ordinances and codes of the City and with <br /> the State Building 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 the approved plan. <br /> APPLICAI�T'S SIGNATL --�� DATE: �/� �� <br /> 4 <br /> NOTE! Parade o�Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />