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� � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BLTII1DPiG PERII�IIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> — -----__. <br /> THE APPLICANT IS: (circle one) OWNER OR CONT�R.ACTOR � <br /> JOB SITE ADDRESS: Z�77 �[����' t�."C�c�� �c� ZIP: ��'��`�� <br /> NA1tiIE OF OWNER: �`-�L C��Qc� ��C���C-f�� � PHO�tE: (home) �7 C ��`� ��� <br /> (work) �'7� � �'�`�C� � <br /> 1�IAILING ADDRESS: 'Z�77 �G--��lc���x`�i-� CITY: w��"u�=� ZIP: S�` ( <br /> CO�t'TR4CTOR• 5 G-Z�c� �5 �--���� �,; PHO�tE: � �' 2 ����C� �� <br /> CON'TACT PERSON: C�-�-�s2� NiOBILE/PAGER: ��(�>7 •� ��5�-� � <br /> NIAILING ADDRESS: ��5�� �5F i�,r.^-��-�(`�c.�_CITY: C`��'�=>�i� ZIP: c��� - <br /> STATE LICENSE: # �-�� 3`3 <br /> ARCHITECTlENG1vEER: P���� <br /> I�IAILTi�TG ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATIO�'# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: "�`��-�-��.a' � ���� F'�`���� <br /> t���>G-'-�L`r�. `� C..��'�'�f�C�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � �� <br /> ESTIl�IA1�D CONSTRUCTION VALUATION (excluding lancn: $ �--��� ; <br /> I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and <br /> accurate; chat the work will be in conformance with the ordinances and codes of the City and with <br /> � the State BuildinJ Code; tha[I understand this is not a permit and work is not to start without a <br /> pemut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� �� <br /> ry D?,TE: C� ` `� .- ��� <br /> 1�'pTE! Parade Qf Homes events require separate permii approval by Poliee Department and <br /> Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. <br />