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` �L'. � �' �,��,o?i <br /> ' Total Fee: $ - Date Received: <br /> Entered By: /'�'�� � � Permit#: �'0 �p q$ <br /> L i )�-; �,`I� `�,) j��. , , r- <br /> i. <br /> CITY OF ORONO - B G PERNIIT APPLICATION <br /> ('���`:s�- ��'��` <br /> All information must be submi£�ted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------ ----__------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �`b l� �1�/�1j`�1i'�'(����� �I'�� ZIP: 5 �`'� <br /> ��f�`i�T� <br /> �,� NAME OF OWNER: 1�/lA-� �LOS�� � PHONE: (tiome) �1��.-4"11 -i 0-l�l <br /> �1' G�INl�- �lN�' �D`r lG (work) (�i�-3o�-�0�� <br /> L.��'� MAILING ADDRESS: l�S�`� ��Yt,�i��;W�i!�� CITY: 'V�11-4�Z/�-Cl�-- ZIP: �� y <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: S��� f�� ����,�t, . <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 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 /> APPLICANT'S SIGNATURE: C � ! DATE: � (��- <br /> NOTE! Parade of 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 /> 5 <br />