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t. <br /> ' Total Fee: � � �'���i, �� Date Received: /1—1�-1�.3 <br /> Entered By: `i 1y'�� ___ Permit#: _�f�A D <br /> � ;,` ,• <br /> 1j��, ' u� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> li���/ <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) WNE R CONTRACTOR <br /> JOB SITE ADDRESS: 3�03 �z�- t�V.eV11�L _ ZIP:_ �� � I <br /> , I . (�f�2,��"7 I- �`��� <br /> NAI�IE OF OWNER: ��1�1 � I}�1 cJJ �I G�"PHONE: (home) <br /> . (work) �(2 <br /> MAII..ING ADDRESS: 7(� _ �i�o _CITY: � ZIP:�� I <br /> �V�Y1 V� <br /> CO\'TRACT�R: ,� V�1 PHONE:, ^ <br /> COti'TACT PERSON: MOBILE/PAGER: � �- �� <br /> NL4ILING ADDRESS: C� CITY: ZG't ZIP: ���!( <br /> ST�TE LICENSE: # <br /> ARCHITECT/ENGINEER: PHOI�r� � �0 <br /> MAII,ING ADDRESS: CITY: �� <br /> rJ��,�; REGISTRATION# <br /> TYPE OF WORK: New Addition '� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: <br /> 0 <br /> STORIES: , SQ. FEET OF EACH FLOOR: �S� <br /> NO. OF BEDROOVIS: ��_ � GARAGE STALLS: ATT. �--- DET �y�� <br /> ESTLI�IATED CONSTRUCTION VALUATION(excluding land): $ � (�O <br /> I hereby apply for a buildin�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 Building Code; that I understand this is not a permit and work is not to start withbut a <br /> perm.it; and that the work wiR be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��! 71�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />