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Total Fee: $�����3 Date Received:�o/ �/ n� <br /> � <br /> Entered By: ��'1, Permit#: G �,��I� <br /> CITY OF ORONO - BITII.,DIVG PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SI'TE ADDRESS: � / �Q"'� Z�: <br /> � <br /> NA:tiIE OF OWNER: ��ZY-� i f��� PHO��iE: (home) <br /> (work) <br /> I�IA.ILI�i'G ADDRESS: ���-P CITY: ��-/� - ZIP: <br /> _� ' � <br /> COti"TR.�CTOF,: �b� �v'� PH0�1E: 7��=/G 7 l <br /> CO�'T'ACT PERSON: �_ NiOBILE/PA�r�E�: <br /> 1�IAILI�i tG ADDRESS: 7�7C� � � CTTYt% �e �ZIP:,��y�3 2 .. <br /> STATE LICENSE: # <br /> Ai: ;.:HITECT/ENG�EER: PA��� <br /> 1L�1ZING ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATIOr'# <br /> TYPE OF `VORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> ����o � �c,-� <br /> PROPOSED WORK(describe in detai�: ���- <br /> STORIES: SQ.FEET OF EACH FL44R: <br /> NO. OF BEDROOVSS: GARAGE STALLS: ATT. DET. <br /> ESTI�i IATED CONSTRUCTION VALUATION (exclud.ing lanc�: $ a`�C���- � � _ <br /> I hereby aoply for a buildin� permit and I acknowled�e that the information above is complete and <br /> accurate; chat the work will be in conformance with the ordinances and codes of the City and with <br /> � the State Building 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 /> APPLICANT'S SIGNATURE: __�.��" DATE: ��.��v c� <br /> NOTE! �P ra ade Qf Homes events require separate permit approval by Poliee Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br />