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� �ec•°14—ZQO1 11:46pm From—CITY OF ORONO +9522494616 T-358 P.�06/O1T F-4T9 <br /> r 7 <br /> Tocal Fee: -� �"�� ��"��Z � � Date Received: J '.:� <br /> $ i n.� <br /> Entered By_ �'�Y� Permit#: ������ ��� <br /> CITY OF ORONO - BUIY,DYN'G PERMIT APPLICA7'I4N <br /> All information must be submitted in full before plan review will be started. <br /> (please prinr all information) <br /> �__-____���������..�������______'-______"__'__�-������`���..�_�_____��� k������� <br /> THE APPLYCANT IS: (circle one) GWNER OR CONTRACTOR <br /> ,., <br /> JOB SITE ADDItESS: �� � -n, +�-,,,� ZIP: <br /> � NAME OF OWNER: . � PHONE: (home) <br /> (work) <br /> MAILTNG ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � pgp�; , <br /> CONTACT PERSON: MOSII.E/PAGER: " <br /> MAII.lNG ADDRESS: � - � . CITY: ZIP: <br /> S�'AZ'E LICENSE: �# <br /> ARCHITECT/ENGINEER: � PHONE: ' <br /> MAII.TNG ADDRESS: . - - - CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK; New Addi�ion Accessory Structure <br /> Move Remodel/Alteration Land Al�eration <br /> � <br /> r PROPOSED WORK (describe in detain: ~ � <br /> STORIES: SQ. FEET OF��;AC�FLOOR: � 1' �; <br /> NO. OF BEDROOI�LS: GA.R.AG�E STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATCON (excluding land):� $ ' <br /> I hereby apply for a building perm.it 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 permic and wnrk is noc to sta�t�vithout a <br /> permit; and that the work will be in accordance with the approved plan. " <br /> APPLiCANT'S SIGNATURE: � - � DATE: <br /> NOTE! P_ ar�de of Homec events require separQte perntit approval by Police bepqTtment ar�d <br /> Ciry Counci160 days prior to the Pver�t. Nat pe�mit�ed evenrs will not be allowed. <br /> 5 <br />