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..�.. <br /> " � Total Fee: $ 5 � � I Date Received: �'�7—� 3 <br /> Entered By: � Permit#: �<o S�1-1 <br /> ----- --- -- - � - - <br /> CITY bF ORONO - BUII..DING $ERMIT APPLICATIOleT <br /> I <br /> All inform�tion must be submitted in full fore plan review will be started. <br /> (please print all in rmation) <br /> THE APPLIC IS: (circle one) OWNE� O RACTO <br /> JOB SITE ADDRESS: a I 35f S�-��'`� � , ZIP: <br /> ���� ,R v�rt�nr�. I � PHONE: ome) ° �Z- 25'�--b(�`/ O <br /> NAME OF OWN�R: .��LK r I�" (h l5 <br /> (work) <br /> MAILING ADDR�SS: a 13 S� S�\� ^ � � CITY: c�vto�r o ZIP: <br /> � <br /> CONTRACTOR: �� �t7 w^� w^�°(�`o v � PHONE: �( 2 ` 5�� - 2 l b p <br /> CONTACT PERSQN: �O t�� (��(s � OBILE/PAGER:�,o�^� <br /> MAILINGADDRFSS: ��fn3 E. �l i`�-.� CITY: Sl^h(�o,�u!ZIP:.SrS3� <br /> STATE LICENSE: #2 o z 2[� 7�3 <br /> ARCHITECT/ENG�ER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New tlddition � Accessory Structure <br /> Move RemodeUAlteratio� Land Alteration <br /> ' /Z� /ZoD � <br /> PROPOSED WOItK(describe in detain: �sr '�• � <br /> STORIES: SQ.FEET OF EACH OOR: <br /> NO. OF BEDRO MS: GARAGE ST LS: ATT. DET. <br /> ESTIlVIATED CO�TSTRUCTION VALUATION(e cluding land): $ �5�n <br /> I hereby apply for a�building perm.it and I aclrnowledg that the information above is complete and <br /> accurate; that the wbrk will be in conformance with ordinances and codes of the City and with <br /> the State Building �ode; that I understand this is not permit and work is not to start without a <br /> permit; and that th� work will be in acc nce with the approved plan. <br /> APPLICANT'S S GNATURE: DATE: �"` � � � <br /> � <br /> NOTE! �.r events require separate ermit approval by Police Department and <br /> City Council 60 d s prior to the event. Non permi ed events will not be allowed. <br /> ;, <br /> ; <br /> ' <br /> i <br />