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� � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BiJII�DIvi G PERMIT APPLICATION <br /> All information must be submitted in fiill before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTR.ACTOR � <br /> JOB srrE annx�,ss: 3 �- � � �,+�` J�- z�: <br /> NAME OF OWNER: �p*�-�y� G►�I� �1-.a r� PHONE: (home) <br /> (work) <br /> Niaa.�vG annxEss:3 a-6 s 6�^,�-„�`- crrY: z�: <br /> CONTRACTOR:�JV, � �M�V�' ��. PHONE: �7 � - 6�.3� <br /> CONTACT PERSON: '3 �D _MOBILE/PAGER: . <br /> MAII..ING ADDRESS: CITY: ZIP: � .. <br /> STATE LICENSE: � S 3 a�j <br /> ARCHITECT/ENGINEER: pA��� <br /> �IAILII�'G ADDRESS: CIT'Y: ZIP: <br /> NAi1�: REGISTRATION# <br /> TYPE OF `i�ORK: New Addition Accessory Structure <br /> Move Remodel/Alteratic� Land Alteration <br /> PROPOSED WORK(describe in detain: 1�►-✓L- �'F '� '�--sl��� . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. <br /> . � <br /> ESTI�i IAT'ED CONSTRUCTION VALUATION (excluding lancn: $ � 66G -- <br /> I hereby aoply for a building permit and I acknowledge that the information above is complete and <br /> accurate; �hat 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 i the approved plan. <br /> APPLICANT'S SIGNATLTRE: DATE: C� --� C "'' �U <br /> NOTE! Parade of lYomes events require separate permit approval by Police Deparlment and <br /> � City Councit 60 days prior to the event. Non permitted events will not be allowed. <br />