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� <br /> Total Fee: $ �:3.,;.�e� Date Received: J� � S � ��' <br /> Entered By: d,h Permit#: �� ����� <br /> CITY OF ORONO - BiTILD�'G 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) �OR CONTRACTOR <br /> JOB SITE ADDRESS: �-7�-}�; �I'lo r'�,I i n� l�� z�: 5�� <br /> NAME OF OWNER: ��e��•t-�c�/�� PHO�tE: (home) <br /> (work) �5� �/7/ 8�33 <br /> I�IAILI�i 1G ADDRESS: t��S�S��i-�/`�- ��,��e CITY: �fY��� / ZIP:�S3� ! <br /> Stc,^, Ntaa��t-� <br /> ���(�°S�-�a.j I S h � �I� �rx.sC? Pxo�: `�i�—�I Z�- <br /> . l S � <br /> C�' CONTACT PERSON: ,Ce; r'1 NiOBILE/PAGER: . <br /> �� Mc-1ILING ADDRESS: ` �t CITY: MOt�!\1 J'� ZIP: `—�, �,�f . <br /> �` STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �tIG"/V� PH0�1E: <br /> l�iAILTi\'G ADDRESS: CIT'Y: ZIP: <br /> N��,�: REGISTRATION# <br /> �- S��n re�I�E,N►-�� <br /> TYPE OF WORK: New o� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: C/ � ai-�- � �'< .�l ��'S���/e� <br /> �� H��� 5��'f 5 Gtti <br /> � 'Y7t� �� 1 G <br /> ST��S: SQ.�ET nF EACH�I,OOR: ,l�'M,��" (ti,�l j bf. <br /> NO. OF BEDROO�iS: GARAGE STALLS: ATT. DET. �S e� .� �� <br /> .� Y <br /> � ESTII,i IATED CONSTRUCTION VALUATION (excluding land): $ ,� <br /> I hereby apply for a building permit and I aclmowled�e that the information above is complete and <br /> accurate; �ha[the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand th.is is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA'TiTRE: �a'`�-- DATE: �/� Oo <br /> � ��� � 1'0'y i.'' C�h r' <br /> NI TE <br /> ! P r d H ev require separate permi� ��roval by Poliee Department and <br /> Cily Counci160 days prior to the event. Non permitted events will not be allowed. <br />