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� _ Tota1.•Fee: S �/ I�� � ,S' Date Received: <br /> Entered By: /7 � /' - Permit#: �{;� , <br /> �` <br /> - <�t�1� ..i, �c� �i <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION � ��,�;;;s <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all information) �����L�� <br /> --------------- <br /> T�iE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR <br /> � <br /> JOB SITE ADDRESS: 5 CO Z�� ��3�� i <br /> � <br /> i <br /> � <br /> NAME OF O�VNER: ��QL,1 G(PS o�� �QI`��PHONE: (home) i <br /> (work) �-}-1 ) -Cl�-7 � <br /> �r�a.nvG�nx�ss: � �� ��� . �rrY: ('`r C�nC _ zrn: � �3� ( ; <br /> � � <br /> - �1 C'�l�C�'f �(� � <br /> CONTRACTOR: � � � � � � I`�Q�� � PHO�tE: I C_����--��c� <br /> CONTACT PERSON: � 2 � MOBILE/PAGER: <br /> MAILINGADDRESS: \��7� �jZ��c t��� j��; CITY:� ���� ZIP: ��1`-l_T <br /> STATE LICENSE: # �1��_ <br /> ARCHITECT/ENGINEER: PH��� � <br /> MAILING ADDRESS: CITY: Z�: <br /> NAME� REGISTRATION# � <br /> TYPE OF `�'ORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED�VORK(describe in detai�: �,�,r' (�� �-'X�5����� ��-�� � <br /> �� �������I� �i m� 1�'�C ��.�5to� <br /> STORIES: SQ. FEET OF EACH FLOOR: �-I(('���� - � <br /> NO. OF BEDROOiI�IS: GARAGE S1'ALLS: ATT�. � • DET. <br /> ESTLI�IATED CONSTRUCTION VALUATION (excluding land): S���Y� �� <br /> I hereby appl�- for a building pemzit 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 /> P DATE: �- �p-2�D I <br /> APPLICAI�"T'S SIGNATURE:� � - <br /> NOTE! � r�ae2f Homes events require separate permit approval by Police Department anel <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />