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Total Fee: �a �3'a� Date Received: � <br /> E�tered �y: � ' Permit#: /D7a <br /> CITY OF ORONO - BUII�DING PERMIT A.PPLICATION � <br /> A11 information must be submitted in full before plan review will be started. <br /> . (please print all information) . . <br /> � THE�APPLICANT IS: (circle one) WNE OR.CONTR.ACTOR� �� . ' � . � <br /> JOB SITE ADDRESS: �?�� �t�}�y t� �D �z�: � _ <br /> . , <br /> � N�iME OF OWNER: �I��E x . O(-�� PHO�IE: (home) ��� "R1�a-- <br /> � (work) '—, <br /> �,�,vGAnnxEss: �7'7S -sft�DY�G� � crrY: o N� _z�:_ SS�1 <br /> CON'I'RACTOR: PHOivE: . <br /> CONT'ACT PERSON: � MOBII�E/PAGER: • <br /> MA.II.�ING ADDRESS: CITY: � �:_ <br /> STATE LICEI�TSE: # � <br /> AP.CHITECT/Ei�'GINEER: PHOYE: . � <br /> 3�IAILYNG ADDRESS: CITY: ZIP:_______ <br /> T,*AME: REGISTRATION# <br /> TYPE OF ZVORb: New Addition Accessory Structure_ <br /> Move ' � Remodel/Alterati n Land Alteration <br /> PROPOSED tii�ORK(describe in detain• � 5{'�D � <br /> s� o� E c,��:�� <br /> STORiES: �_ SQ.FEET OF EACH FLOOR: b �i = I�I�� - <br /> NO. OF BEDROOI�iS: _� GARAGE STALLS: ATT. _� DET. . <br /> . .� . <br /> FST .�i IA.TED CO�'STItUCTION VALUATIO�t (excluding land): $ _� a;���. <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 City 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.a ccordance with the approved plan. <br /> APPLICA.NT'S SIGNAT'URE: DATE: 8—�—Id� . <br /> oF awi�� <br /> NOTE! r de of FI� omes ev ts re ire se�arate permit approval by Police Deparlment and <br /> ' City Council 60 days prior to the event. Non permitted events will not be attowed. <br /> . � <br />