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� w = <br /> 7'otal Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all fnformation) . <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB SITE ADDRESS: ��0 I Sho�e I�WC. � r. Z�: � <br /> NAME OF OVYNER: So`-1'�� ���`os ;�' PHOi�tE: (home) '7�3- L�a.�7 -��'3 <br /> �, (work) <br /> 1�IAILING ADDRESS: � � a� � !!�1�n n�eTa �e. CITY: C�a,�,i•� ZIP: S 5 31 � <br /> CONTRACTOR: ' ���'e �V rn2 �7-A�� PHOi1TE: I- �to 3 S • <br /> CO�1'I'ACT PERSON: 'i�oss fat I I r�C ti�iOBII.E/PAGER: '7� - ��- 'l 5�3 6�a-3 82- <br /> MAILING ADDRESS: '�'p N k9.'� �'('�'� ST CITY: I�Q� �ZIP: SS 1 I �. �� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: _ <br /> MAILI�i TG ADDRFSS: CITY: ZIP: <br /> NAME; REGISTRATION# � <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration �� Land Alteration <br /> r _ <br /> PROPOSED WORK(describe in detai�: R�p.� • - <br /> STORIES: � SQ.FEET OF EACH FLOOR: �� a�� O <br /> NO. OF BIEDROOMS:� � GARAGE STALLS: ATT: • DET. ;-_.r �_...w�..,�_.r,.;._K- _r.-- <br /> ESTII�i IA.TED CONSTRUCTION VALUATIO\ (excluding land): S �c i 5"�� <br /> I hereby apply for a building pernut and I acknowled�e 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 a cordance with the approved plan. <br /> LICANT'S SIGNATURE: DATE: �I a 7 o <br /> A,PP <br /> NOTE! P�..,_ar e Qf'Homes events require se arate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be altowed. <br />