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� <br /> Total Fee: $ �/5_ S�C� Date Received: 5-�� 'U Z <br /> Entezed By: �%--- Permit#: ��JS Z 2 � <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------�-----�-------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO&� <br /> JOB SITE ADDRESS: �L'y.� �9f/�Si��' /t-� ZIP: S.S-3S� <br /> NAME OF OWNER: �--� -�r �oc�.� PHONE• (home) �s2 � %y�--�'�°z7 <br /> � (work) <br /> 1�ZAILING ADDRESS: ��S /-�� S�G,�/��/,CITY: Oi��sQ ZIP: �S3S9 <br /> CONTRACTOR: ��f�/ �CDUw� od � � PHONE: ��3"�Z7�"���Z-- <br /> CONTACT PERSON: � �v�. OBILE/PAGER: �/z �-.�z� - �d� <br /> MAILING ADDRESS: /�v �. �� -� ��CITY: a � ZIP: _�S^�/� <br /> STATE LICENSE: # Z�� /a/S� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��G/� —��� � l/('�-d�o� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %��a o. � <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 Ciry and with <br /> the State 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: `�'�'�' � � DATE: -S �� � � <br /> NOTE! Parade Qf 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 />