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Total Fee: + $ � �8� �8 Date Received: �b-'3--�a <br /> Entered By: Permit#: �}'� �-ti`I <br /> CITY pF ORONO - BUII�DING P�RNIIT APPLICATION <br /> All informa�tion must be submitted in full b ore plan review will be started. <br /> (please print all info tion) <br /> ------------------------t-----------=-----------------------------�-------------------------------------------------- <br /> THE APPLICANI� IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 2r�v � ZIP: <br /> NAME OF OWNE�i: W �¢� PHONE: (home) `f �� '�Z�S7 <br /> (work) <br /> MAILING ADDRFISS: �l 3 d � i CITY: pr��,,..rr— ZIP: <br /> CONTRACTOR: /� �" PHONE: ��` ��� Z <br /> CONTACT PERSaN: M BILE/PAGER: 2S� � <br /> MAILING ADDRE�SS: l0 e <<,e CITY: ZIP: <br /> STATE LICENSE:� # ��(Q� �i^��� u� <br /> ARCHITECT/ENG}INEER: PHONE: <br /> MAILING ADDRE�SS: CITY: ZIP: <br /> NAME: GISTRATION# <br /> ; <br /> TYPE OF WORK:'�, New Addition ' Accessory Structure <br /> Mov� Remodel/Alteration Land Alteration <br /> PROPOSED WOR�(describe in detain: �' ` �/�L.� <br /> � <br /> STORIES: SQ.FEET OF EACH OOR: <br /> NO. OF BEDROO S: � GARAGE STAL S: ATT. DET. <br /> ESTIMATED CON�TRUCTION VALUATION(exc uding land): $ l�f�G�d o� <br /> �� <br /> I hereby apply for a t�uilding permit and I acknowledge t the information above is complete and <br /> accurate; that the wo�k will be in conformance with the rdinances and codes of the City and with <br /> the State Building C de; that I understand this is not a erinit and work is not to start without a <br /> permit; and that the , ork will be in rdance wi approved plan. <br /> APPLICANT'S SI(�NATURE: DATE: <br /> NOTE! Parade of�I_, omes even require separate p it approval by Police eparhnent and <br /> City Council 60 days prior to the event. Non permitt�d events will not be allowed. <br /> ; i <br />