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Total Fee: $�'�/� ._`� % Date Received: � _ % -% G <br /> � Entered By: ,�.� � Permit#: 1 ,� '� <br /> � CITY OF ORONO - BLTII.DING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please print all information) <br /> -------------------------------------_____ ___-------------------- <br /> THE A.PPLICAI\'T IS: (circle one) OWNER OR ONTRACTOR� <br /> JOB SITE ADDRESS: g� S��`�� �� ZIP: �� 3.5�� <br /> ' �a-��� � yT.r= as�� <br /> NA1�TE OF O`V��ER: _, , ,-n � �� PHONE: ome <br /> (work) �2 -- �/� � <br /> MAILING ADDFESS: -�-1�"" Sr� ��� 1��:{ CITY: Qt-�,� � ZIP:�3.5--� <br /> , <br /> CO�ACTOR: L/� ex,� �n ' PH0�1E: ���' �'i 123 <br /> CONTACT PERSO�': � MOBILE/PAGER: <br /> MAILI�i'G ADDRESS:�,%�y ,r��s�� i a,��`� CITY: �,�c o C'��► ZIP: S S.�5' � <br /> STATE LICENSE: # �c�7� <br /> ARCHITECT�EI�'GItii TEER: - _PHONE: <br /> NIAILI\i'G ADDRESS: ; � E...;,r� '/,` Y: Z�' <br /> NAME: <br /> `:�,�'z"r ` STRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Move , � Land Alteration <br /> PROPOSED WORK(describe in detain: � ��-,v��/ 2����� ��+5�" ��� <br /> �� ���h d�r�`t�.l , �d rnz C��P-� �cw S� - ��'l� - c,�5,:��r <br /> ' ,,��� �r'S -F-:'��;�s <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> I\'O. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> oa <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ � Oc 6 <br /> I hereby apply for a building pernut and I acknowledge 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 Buildin� 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 accor ce with the approved plan. <br /> � ' <br /> APPLICA�'�'T'S SIGNATURE: , DATE: � -�7—�S <br /> NOTE! Parade of 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 />