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� <br /> Tbtal Fee: $ ��<�'� �=� Date Received: j '` � �U` <br /> Entered By: ;,���.- Pernlit#: �'6� ��/�-- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <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 O CONTRACTOR <br /> JOB SITE ADDRESS: � O Z D N c�(`[l-� \�(Z U W l� ZIP: ss aJ S�o <br /> M�-z�-�v i c f�osE <br /> NA.�iE OF OWNER: ��N N�S �12�`/ PHONE: (home) g�z-`�`7�g3/Z <br /> Q (work) <br /> MAILING ADDRESS: ��� � `J�w� �CITY: �rol1 C� ZIP: SS 3Sb <br /> CO\'TR�iCTOR: � VO R t l-t-E21� �/V�C�t S PHOi�'E: �'�2-y7�o Q�0 3 <br /> COr"TACTPERSON: �o� Ltic�}S NIOBILE/PAGER: Coiz- 8�Z—Zsol <br /> M.aiII�ING ADDRESS: 101oO N, growrl /Q( CITY: C�/Y�n U ZIP: 55 3 S� <br /> ST�TE LICENSE: # S lo SO <br /> ARCHI'TECT/ENGI�YEER: PHONE: <br /> NIAII..L�1G ADDRESS: CITY: Z�: <br /> NA.�iE: REGISTRATION# <br /> 3-S�nls �r� �.++ — � <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED W RK(describe in detai�: (�L,q�S -�iVC�DSuR� ►'ICT�Ri� �V S��A�7ZY2-y <br /> T .T_/v- �oo R 12S o �T �'��r� ��I� <br /> Go�s�2v�rvR� is 5���� �m ttt��s� wY�rH . �x7��e�d�2 <br /> STORIES: SQ. FEET OF EACH FLOOR: S�-i D�N�-- ��DRS <br /> NO. OF BEDROOI�IS: � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ �0� <br /> I hereby apply for a buildinJ 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wiR be in accordance w' the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ���D� <br /> NOTE! Parade o 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 /> 5 <br />