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� <br /> � <br /> � Total Fee: $ Date Received: <br /> Entered By: Permit#: /G �/O 8 <br /> CITY OF ORONO - BU1I.DING PERNIIT APPLICATION <br /> A.11 information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------- - ----------- ---�=��-z--------- --- -- <br /> THE APPLICANT IS: (circle one) Oti�NER O�ONTR.ACTO � <br /> JOB SITE ADDRESS:�� � �5������ Z�: <br /> � NAME OF OWIVER: ��� S�' / /S�H PHONE: (home) <br /> 3�� � �'f+S��o G.n c�� (work) <br /> MAILPi tG ADDRESS:- CITY: ZIP: <br /> CO�TTRACTOR: V�� � S�''' :��� �nS �. PHOi�TE: �7� - � ��^-.� / <br /> CONT'ACT PERSON: � v�� MOBILE/PAGER �'E�7_3 i� 7 <br /> MATLI�i tG ADDRESS: CTTY: ZIP: <br /> STATE LICENSE: # �3=> �I <br /> AP CHIT'ECT/ENGINEER: PH0�1E: <br /> 1IAII,�tG ADDRESS: CITTY: ZIP: <br /> r,T�ME; REGISTR.A.TION# <br /> TYPE OF tiVORb': Ne�v Addition Accessory Structure <br /> Move � RemodellAlteration_� Land Alteration <br /> PROPOSED'�VORb'(des ribe in detain: I �ft'2 � �?�'� S�' e'S �� � <br /> ,�Z-�t� � i �---5 /� �� F pr� n-> - <br /> STORIES: SQ. �EET OF EACH FLOOR: � <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTI�I2ATED CO\TSTRUCTION VALUATION (exclud.ing land): $ �, �`��-� <br /> I hereby apply for a buildinJ pernut 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 will be in accordanc with approved plan. <br /> APPLICANT'S SIGNAT'URE: �` DAT'E: 1� ' � �� - � � <br /> NOTE! Parade Q Flomes events require separate permit approval by Police Deparlment and <br /> � City Counci160 days prior to the event. Non permitted events wi11 not be allowed. <br />