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o.00 -G�`� ' �1 - <br /> Total Fee: $ � � Date Received: T— �.3 �� <br /> Entered By: t�S Permit#: _ PQ 75 �.. <br /> � <br /> CITY OF ORONO - PE T APPLICATION <br /> US,�r <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: (�Z.C� '�O�QE LI�.lE ��) „_ ZIP: _��I <br /> Will this be a P�de of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ���ol.I ' �R�tDV PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: t4za ��I�,ue ��c��: �D ZIP: 55'�i .�t�e� <br /> CONTRACTOR: '� d'�'yrE �U� PHONE: (p�• �Zq-2pg� <br /> CONTACT PERSON: MOBILE/PAGER: (g�Z— q -'�„1�� <br /> NiAILING ADDRESS:�� CITY: ZIP: �_ <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration Land Alteration.� <br /> PROPOSED WORK(describe in detai�: '���E WAu LpK4�l►��e�f �Ey►�-Af.1�F� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building pernut and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />