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�" -� j <br /> Total Fee: $ //J,O� Date Received: , <br /> F�-.;,ered By: ��'� _ Permit#: �L�, j�- <br /> � CITY OF ORONO - BUII�DING PERNIIT A.7PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a11 information) . <br /> THE APPLICANT IS: (circle one) Oti'VNER O CONTRACTO � � . <br /> JOB SITE ADDRESS: c�0� �/�h a.C�I,C�G�G'p� /�� ZIP: ��J�7 / <br /> . , <br /> � NAME OF OWNER �G ���;/`�' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: OCX> �/f�-�� , ITI': '�,�� .. �ZIP: __ � <br /> � <br /> ; <br /> CONTRA.CTOR: �� S G"�o�e� �'� ��IPHOivE: �/a �-D�� , <br /> N: MOBILE/PAGER �--1 ..5 <br /> COti'TACT PERSO Q� �/ .� <br /> 1V1AII�Pi 1G ADDRESS: � /�'/' �CITY: �i i � ZIP:__�� �o � I <br /> STATE LICENSE: � <br /> A,P CHITECT/ENGINEER: PH0�1E: <br /> NIAII..IPi G A.DDRESS: CITY: ZIP: <br /> riAME; REGISTRATION# <br /> TYPE OF ti'VORb': New Addition Accessory Structure <br /> Move � � Remodel/Alteration Land Alteration <br /> , <br /> PRO OSED'4VORK scribe in detai�: ���"Up,� �Ui t�Z /��f ��/�� 8f <br /> r - /.r� <br /> STORIES: SQ.�'EET OF EACH�`LODR: � - <br /> NO. OF BEDROOMS: GARAGE STA.LLS: ATT. DET. <br /> , <br /> �� . . <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ ��OG�' � <br /> I hereby apply for a buildin�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 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 i.n accordance with the approved plan. <br /> APPLICANT'S SIGNAT'URE. � � DATE: ��� � <br /> NOTE! �Parade of Home� ev nts require separate perm approval by Police Departrnent and <br /> � City Counci160 days prior to the event. Non permitted events will not be allowed. <br />