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J � <br /> Total Fee: $ I C �� ' �� Date Receive : ����� <br /> Entered By: ,�?9'v�L,. Perm.it#: �"3 <br /> T <br /> CITY OF ORONO - BITII,DING PERIVIIT APPLICATION <br /> A.11 information must be submitted in full before plan review will be started. <br /> (please print all inforncation) <br /> 1'HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �J� s�./� � . ('�ZIP: _�'.�� �C.P <br /> NANIE OF OWNER: PHONE: (home) <br /> (work) <br /> I�IA�I,Lti'G ADDRESS: CTTY: ZIP: <br /> C0�1'TRA.CTOR a�'1 � H0�1E: -.5�5 - �Z,�� <br /> COti"TACT PERSON: N OB /PAGER: - � ll . <br /> I�IAILI�i tG ADDRESS: CTTY: ZIP:1„�(Q .. <br /> STATE LICENSE: # �2 <br /> ARCHITECT/ENGTiVEER: PA��� <br /> I�IAILI�i'G ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> �- ' <br /> PROPOSED tiVORK(describe in detai�: ��l�1 IS�1 ��SP "' <br /> STORIES: SQ.FEET OF EACFi FLOOR: �O(�,B✓ �l�I � ���8 <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTI1�iA'ITED CONSTRUCTION VALUATION (excluding lan�: $ �D�D�0 - <br /> I hereby apply for a buildinj perm.it and I acknowled�e that the information above is complete and <br /> accurate; cha[the work will be in conformance with the ordinances and codes of the City and with <br /> � the State Building Code; that I understand th.is is not a perm.it and work is not to start without a <br /> perm�t� ��d that the work will be in accordance with the approved plan. <br /> � � � DATE: �T� ��D� <br /> APPL�.CANT S SIGNA'I'URE: <br /> NOTE! Parade o�Horrtes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />