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J , � <br /> Total Fee: $ � ��' �� Date Received: Fy' _� '�-�� <br /> Entered By: �/!�'_,- Permit#: �� `�6<2-�' <br /> CITY OF ORONO - BUII..DING PERMIT A.PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all information) <br /> _ —___,. <br /> ----- <br /> ------------------------------------------------------- -------=�=---- -��---------------------= <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTORj <br /> _.� <br /> JOB SITE A.DDRESS: � �1"1c��( c , Z�� �� � <br /> NAME OF OWNER: - �,+- ,-;-� PHOiVE: (home) y�� — �S��n� <br /> (work) <br /> 1�IAILI�i 1G ADDRESS: . CITY: ZIP: <br /> SELA ROOFINQ& REMODELING, ��� <br /> CONTRACTOR: � 4100 EXCELSIOR SLVD. PH��; �,l Z- `5� ? -��j`-��j <br /> CO1�I'TACT PERSON: � ��pp�nS�I�IOBILE/PAGER: <br /> NTA.IL,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # �C S C� _ <br /> ARCHITECT/ENGPi IEER: PHOti'E: <br /> 1VIA,IL�'G ADDRESS: CITY: Z�: <br /> N��: REGISTR.ATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detain: �� (� JcS�� rl��� � l��-✓��-�-- <br /> � � � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> I�TO. OF B�DROOMS: GA_RAGE STALLS: ATT. � DET. - . � - - . -. .- ,:.. <br /> ��5 cr> <br /> ESTIvi IATED COti'STRUCTION VALUATIO\ (excluding land): S � � <br /> I hereby apply for a buildin;perniit 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 Ciry and with <br /> the State Buildin� 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 ccordance with the approved plan. <br /> r - <br /> APPLICANT'S SIGNATURE:,� �� i , � z DATE: � � Z- � 1 <br /> �"l, � � � � , � � <br /> NOTE! Parade o Homes events require separate per�iit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />