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. ` . <br /> . � <br /> Total Fee: $ 3J� �_a5 Date Received: �-��'Ua <br /> Entered By: �� Permit#: D�� � 0�70 <br /> CITY OF ORONO - BIJII�DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> THE APPLICANT IS: (circle one . OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � �S�� S��`i.-�0 0 J � � ZIP: ,���3`�' � <br /> NAME OF OWNER �f���� s�J � 1`^' PHO • (hom `lS ��/ —33.jS <br /> (work) q SZ- �7`f c�" O <br /> MAILING ADDRESS: 1�S� S 1d���uXk2� �CITY: � �O,J C� ZIP: 3�j � <br /> CONTRACTOR: ��/`�'�Z— � � ���PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: ��S� o� D� �jZ I S`TI ��- t� �a2�t��, <br /> I,t�I�J Ch.e�S 9'�J Z�'� �t���11� �I b �7� �'.-L�D 2� �.l�r`�'"I'-- � �I��--�Z�`'� <br /> STORIES: ��� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STA�LS: ATT. DET. �J D� �' <br /> ESTIMATED CONSTRUCTION VALUATION (e�ccluding land): $ a�� �� C7 <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 Ciry 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 � oved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��� <br /> NOTE! Parade Stf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perm�tted events will not be allowed. <br /> 5 <br />