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- � i <br /> Tc�tal,Pee: $ Date Received: "'7— �-�� �l� � <br /> E�'itered By: Permit#: ,',� �;z I <br /> CITY OF ORONO - BU]ZDING PERNIIT A7PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE A.PPLICAI�'T IS: (circle one) R R CONTRACTOR � � . <br /> JOB SITE ADDRESS: 1���� ��,1�'� ����G^��� c���,a . /'+�Nz�: s`s-3� I <br /> � NANIE OF OWNER: G�t�� ��t�jli- 1����'(���� PH0�1E: (home) � ��—�i `��� <br /> (, � (work) �'�l- �Q�� <br /> ME�TLING ADDRESS: __�;�. � CTTY: ZIP: � <br /> � <br /> CO`"I'RA.CTOR: 5�,� PHOivE: � � <br /> COti�'ACT PERSON: MOBILE/PAGER: � ; <br /> MAII�Tvi G ADDKESS: CTTY: ZIP: ' <br /> STATE LICEI�TSE: # ' <br /> A1�CHITECT/Ei�TGINEER: PHOYE: <br /> IbIA.II�TiYG ADDRESS: CITY: ZIP: <br /> I�,TAME; REGISTRATION# <br /> TYPE OF tiVOR�i: New Addition Accessory Structure <br /> Move � Remodel/Alteration_� Land Alteration <br /> PROPOSED tiVORK(describe in detain: /`'� �QU� 7w�+�',P.�� �- � 5�'�w ���'��� <br /> STORTES: 4� ,SQ. FEET OF EACH F'L04R: i�»� - <br /> NO. OF BEDROOiYIS: 3 GARAGE STALLS: ATT. DET. �- <br /> , <br /> EST�IAT'ED CONSTRUCTION VALUATION (exclud.ing land): $ �C��� <br /> I hereby apply for a buildin;permit and I aclmowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and witti <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 i.n acc r e ith approved plan. <br /> APPLICANT'S SIGNA'�C7RE: � DAZ'E: ���n-�'j� <br /> NOTE! i�'arade of Homes events require separate perm approval by Police Department an� <br /> � City Council 60 days prior to the event. Non permitted events will not be allowed. <br />