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' i <br /> Total Fee: $ Date Received: <br /> Entered By: �`�(� Permit#: �Yl>� 1--�' <br /> . f <br /> CITY OF ORONO - BUII.DING PERMIT APPLICATION � <br /> � <br /> All information must be submitted in full before plan review w•ill be started. <br /> (please print all informntion) <br /> ------------ _--_--- _ --- -- —__- ___ ---- ------------=--=. <br /> �-�—:-------- <br /> THE A.PPLICAl\'T IS: (circle one) Oti�NER Oh-CONTRACTOR <br /> } _ <br /> JOB SIT'E ADDRESS: � � fl J � ti'� -� ZIP: �.S-� " � <br /> � � /� <br /> NAME OF Oti�TER: '' --��C�{�1 C_��S'�:� -, / PHONE: (home) � 7 /— �� y,� <br /> (work) <br /> ��a.�TG�D�ss: �8c� c�.crrY: z�: <br /> CONTRACTOR: �;� PHONE: ���-- �,��3 � _ <br /> CONTACT PERS N: " Ni0 ILE/PAGER: —SS � <br /> MA.ILl�'G ADDRESS:�(��`� l"�I�/.�L,��� CITY:f " � � ��� � .vr• ZIP: ��t s'� J <br /> STATE LICENSE: # � � c, ��,� Q� � <br /> ARCHITECT/EI\'GItii TEER: PHONE: <br /> MAILItii TG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF VVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED tiYORK(describe in detai �� �� � �c� � <br /> n: 1�, <br /> STORIES: � SQ.F'EET OF EACH F'LOOR: <br /> NO. OF BEDROOiI�IS: GARAGE STALLS: ATT. DET. <br /> ESTIi�IATED CONSTRUCTION VALUATION (excludi.ng land): $ ��� ('� <br /> I hereby apply for a building pernut 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 Build�ng Code; that I understand this is not a permit and work is not to start without a <br /> permit; and thac the work will be izx acco d Ge wi the appr ed plan. <br /> i <br /> PLICAi�'T'S SIGNATURE: ' � / , DATE: �—�y_9 9 <br /> AP , <br /> NOTE! Parade of Homes events re � ire separate permit approval by Police Department and <br /> City Council 60 days prior to tke event. Non permitted events will not be allowed. � <br />