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, � - ,� <br /> Total Fee: $ ,'��. .� �` Date Received: �-��- `f� <br /> Entered By: Permit#: /0 3�3 <br /> � � <br /> CITY OF ORONO - BIT�ZDING PERMIT APPLICATION <br /> A11 information must be snbmitted in full before plan review will be started. <br /> (please print all information) _ <br /> THE APPLICANT IS: (circle one) OWNER ,'R CONTRACTOR � <br /> JOB SITE ADDRESS: ��`J 5 �vcp�-�� i �ic /�,'/' ZIP: �S >��b 5� <br /> � NAME OF OWNER: �'�"�G'1-`l�c� �l�Lc��n j PHOYE: (home) ���-1 d�,� <br /> (work) <br /> MATLING ADDRESS: �I`l�� �iPf"Sr�LC ,�i2 CI'I"Y: <%k'c�.vc� ZIP: �s 3 L v <br /> CO�I'I`RACTOR: ��y= PHONE: �7,Z- (a 7 � <br /> C0�ITACT PERSON: MOBILE/PAGER: <br /> MAII.,I�i tG ADDRESS: CTTY: ZIP: <br /> STATE LICENSE: # <br /> ARCHIT'ECT�ENGINEER: /I;�� PHONE: <br /> NiAILP�TG ADDRESS: CITY: ZIP: <br /> ���: REGISTRATION# <br /> TYPE OF tiVOR.�i: New Addition Accessory Structure <br /> Move � Remodel/Alteration Land Alteration <br /> PROPOSED'�VORK(describe in detai�: ^��',r7�����~ /�c�;s� <br /> STORIES: SQ. FEET OF EACH FLOOR: ' <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTIVi IA.TED CONSTRUCTION VALUATION (excluding land): $ - ;�� �c��>- � `,° °- ° ° <br /> I hereby apply for a buildin�permit 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 /> pemut; and that the work will be in accordance with the approved plan. <br /> ' � � ��,���--' DATE: L �z - i,Sr' <br /> APPLICANT S SIGNATURE: ,..��� <br /> NOTE! �'arade o Fiomes 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 />