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4 � <br /> � ��{ Cj�; <br /> Total Fee: $ '� Date Received: !� -//-�oZ. <br /> Entexed By: /1iL_, Permit#: i-�O S�3���� <br /> CITY OF ORONO - BiTII,DING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���� 5�,�j��� ��- ZIP: S�~-S� <br /> , <br /> NAME OF OWNER: KQ��2.��A �-`i �, �`�- PHONE: (home)Z ���'���`� <br /> (work) <br /> MAII,ING ADDRESS:'`{�j� l l`l� ��v ,�� CITY: _;rsv��'� ZIP: 5 S� � . <br /> CONTRACTOR: �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: �� �t ��`�L� L�Z.7�% <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA�'�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration <br /> PROPOSED WORK(describe in detai�: _ S i �i ti�� � �-' �4 S �t�'-t2� �.iS�=— <br /> �1 � (����� <br /> STORIES: �"' SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. 1 <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ���� �-- <br /> I hereby apply for a building pernut and I aclrnowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City 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 accordance with the approved plan. <br /> - r <br /> APPLICANT'S SIGNATURE: `,�.,c J(� DATE: ��� l �` C� Z <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />