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' Total Fee: $ ��� ��� Date Received: lC--�P-c r <br /> � Entered By: /���� Permit#: �� �`� ,�5�� __ <br /> CITY OF ORONO - BUII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all iriformation) <br /> _� _—..!_.���--�_ <br /> _w_____ — --- — ���• <br /> � _ _ - <br /> THE APPLICAI\"I' IS: (circle one) OWNER OR UNTRACTOR �°� - �t`�"�-���_- <br /> �----___ <br /> JOB SITE ADDRESS: i-�(��� �ifISGU �G' ��� � ZIP: <br /> NAlVIE OF OW1�ER: /-�-��e/� �v���'N� PHOYE: (home) <br /> (work) <br /> 1�IAII�I�i tG ADDRESS: -�/o y5 ��+SG� ,�� �� CITY: ��r v�-%u ZIP: <br /> CON'TRACTOR: /� �'c h�( � � �'o'�n�� PHOivE: �5 Z- �7/ Od�3 <br /> COi�t'TACTPERSON: �t-t � !�� 1�iOBILE/PAGER: �/z �d 7 �sy`f _ <br /> NLAII.,ING ADDRESS: 3 7 r S fa,v r2� CITY: c�,��z.��,¢ ZIP: �s-�5i - <br /> STATE LICENSE: # nlc�'� <br /> ARCHI"TECT/E\GINEER: PHO�tE: <br /> I�iAILIi�'G ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF `VOR�i: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detain: f��r 1��-� ✓2� /`�f��= - <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROO�IS: GARAGE STAI.LS: ATT. DET. <br /> � <br /> ESTI�i IATED CONSTRUCTION VALUATION (e.�cludi.ng land): $ 3/� <br /> I hereby apply for a buildin�permit and I acknowledQe that the information above is complete and <br /> accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with <br /> � the State Buildin� 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 accordance with the approved plan. <br /> APPLICANT'S SIGNAT'URE: � �— DATE: ��G�-�U <br /> NOTE! Parade 4f Homes events require separate permit approval by Poliee Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br />