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� <br /> . � <br /> Total Fee: $ <br /> Date Received: �S��S� <br /> Encered By: Permit#: 1 i`7q 3 � <br /> Ci'T'Y OF ORONO - BUILDING PERMIT APPLICA.TION' � � <br /> I <br /> .A.11 i.n�ormafi3on must be submitted in full before plan review�-ill be started. . <br /> � {please print all information) . . <br /> . . . - ____ ; <br /> 1� APPLICA.2��'I' IS: � (circle one) O�VNER O CONTRACTOR � ; <br /> JOB SI�'E ADDRESS: ��a a q O Cti S�o Gi'c lP Z�� ': <br /> { <br /> NAIti� OF Oti�1ER: �r�� .�.pi�S�/� PHONE: (home) Y 7�- 7/00 � <br /> . (work) ' i <br /> NIAILI�►G ADDF.ESS: �a a 9 � Cr�Sco Gi: CTTY: D�a� ZIP: _ i <br /> . , <br /> CONTRACTOR: G��s�!'n c�,r' I� PFlONE: SY��3o�1 <br /> COi�TTACTPERSO�: /�✓'enf' OBII�E/PAGER: <br /> MALLTtii'G ADDRFSS: 4 7� /3'�`' �� it/. _CIT'Y: P v�o��ZIP: <br /> � <br /> STATE LICENSE: # �ZD/SS.S��o � <br /> � A.RCHITECT/ENGIl�TEER:� . PHO�'E:. �� <br /> M..A.]I,Itii'G ADDRESS: CTI"Y: ZIP: <br /> � NAME: RECISTRATiON# <br /> TYPE OF '4'YORh'.: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED ti'YORK(describe in detai�: c a�F��cz�� <br /> STORIES: _ SQ.FEET OF EACT3 FLOOR: <br /> NO. Ok' BEDROOMS: GARAGE STALLS: ATT'• DET. � . . <br /> . a� <br /> EST11-IAT'ED CONST'RUCTION VALUATION (excludina land): $. a� �39�- � <br /> I hereby apply for a building permit a.nd I acknowledge that the infonnation 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 Build�n� Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and th4c the work will be in accordance with the approved plan. <br /> APPLICA��"T'S SIGNATITRE: DAT'E: 8�a�?� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> � Cily Counci160 days prior to tke event. Non permitted events wi11 not be allowed. <br />