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Total Fee: $ Date Received. <br /> E�terzd By: Permit#: <br /> �`CITY OF ORONO - BUII,DIlVG PE�RMIT APPLICATI�N <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPL�CAN'I` IS: (circle one} � OWNER R CONTRACTOR �� ^ <br /> JOB s�� AnnxEss: ,���C� ��-�� r�/��� .� r� znP: 5 S 3 9/ <br /> NAME UF OWNER:_�i1��'�� ✓+�. y�� Y► ���.'�l PHONE: (home) ��,�: � IC� �'.��� <br /> (work) S�Z. � <br /> MAILING ADDIZF�,SS: '✓�j`5� �i�f' i�'����� r.�f � CITY: G? y"'p i�U ZIP• �:�a �/ <br /> ' /_ <br /> � <br /> _. � - � � , y', <br /> cort�c�roR: �y 5a.r�d a r7 e`�� rHorrE_ Q�`� 93� ��69 <br /> CONTACT PERSON: � , �����Q���MpBILE/PAGER. �p„$"f ���J�' ��f�� <br /> MAILING ADDRESS: T CIT"Y: ZIP: <br /> STATE LICENSE: # <br /> A,RCHITECT/ENGINEER: pHONE; <br /> MA►ILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIQN# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PRUPOSED WORK(describe in detail}: p�GC�. �,, /n C1 �S � �' -' <br /> � ' <br /> � <br /> STORIES: / Z- SQ.FEET OF EACH FL(�4R: <br /> NO. OF BEDRO6MS: GARAGE STALLS: ATT. DET. <br /> ESTIMAI'ED CONSTRUCTION VALUATION (excluding laad): � �� D a D � <br /> I hereby apply for a building permit and I acknowtedge that the infomiation above is complete and <br /> accurate; that the work wil1 be in conformance with the ordinances and codes of the City and with <br /> tYie 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 accordance with the approved pian. <br /> A.PPLICANT`S SIGNATURE. DATE: � 07� D� <br /> NOTE! Parade of Homes eve s reqr�ire separate permit approval by Police Department and <br /> City Council 60 days przor to the event. Non permitted events will not be allowed. <br />