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� •Total Fee: $ /Ca a, �3 Date Received: � -���� <br /> Entered By: �, _ Permit#: �ZO 3 <br /> CITY OF ORONO - BiJII.DING PERNIIT 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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���O �'p A T�S A U� ZIP: 55 3 9 I <br /> NAME OF OWNER: �Cl�1 Cc�o.� PHONE: (home) Ll��O-/0/(� <br /> (work) <br /> MAILING ADDRESS: Sam�e CITY: ZIP: <br /> CONTRACTOR: O W`n+C.r' PHONE:_ <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: p��.r PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition�_ Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: G��c� o� �� 7l � ( �'(o l�e�.�C. � ��okJ-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �d UU��- <br /> I here^�� apply for a building permit and I acknowledge that the information above is complete and <br /> accur«_;;; that the work will be in conformance with the ordinances and codes of the City and with <br /> the Sta[e 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 /> APPLICANT'S SIGNATURE: �rr �/1�/ DATE: � -d- 'G� <br /> ����� <br /> . NOTE! Parade o�'Homes events requtre separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />