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<br /> , Total Fee: $ ,�� �;�- `�� Date Received: � � _. �'
<br /> Entered By: ,�ii Permit#: �=;_��; �-
<br /> CITY OF ORONO - BLTII.DING PERNIIT APPLICATION
<br /> All information must be submitted in full before plan review will be started.
<br /> (please print all information)
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<br /> THE APPLICANT IS: (circle one) OWNER O�CONTRACTOR'
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<br /> JOB SITE ADDRESS: ������� �,/,�t�jZ��<�� ���f ZIP: ,�J�,:i r/
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<br /> NAIVIE OF OWNER: ,i' '�1�t� Z �
<br /> PHONE: (home)
<br /> j; �� ,, (worl�)
<br /> MAILING ADDRESS: ���<7 �� �-,�e-�� ;;�:. �.�ITY: � ; zt� ZIP:
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<br /> CONTRACTOR -, � ,�: �, _ PHONE: � ,- _ ' .;, .
<br /> � � �` �. ,,L, � �/�� I�s����,
<br /> CONTACT PERSON: ��:�' -n , . MOBILE/PAGER: � ,���— ,_��; � ;'
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<br /> MAILING ADDRESS: �� �- l � � r �'-'r'f-,!�' CITY �- , ;�%� � - � ZIP: �4���z;',.,; 7
<br /> STATE LICENSE: # �
<br /> ARCHIT`ECT/ENGINEER: ,:r m e� ��� ��� P�iOivE: �-�' ?�.'' �'.-/�,
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<br /> MAILIN ADDRES�; —'��� ' , q" ./C ��'i' , ��' ZIP: ` ,- �: �"
<br /> NAME• � � , ,������:���_ REGISTRATION# � .;� � '
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<br /> TYPE OF WORK: New Addition Accessory Structure
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK(d�scribe in detain: �! , f- ;}�l�--.�4,. - �;�-'Cc t_ _ .
<br /> ;� . %� ��.c� �� � � 'h �
<br /> STORIES: , SQ. FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. „%G�;�j
<br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,-� ��!;:,' ;',�� ,r�� =
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<br /> I hereby apply for a building pernait 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 without a
<br /> pernut; and that the work will be in accordance with the approved plan.
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<br /> APPLICANT'S SIGNATURE: , � DATE: y�J�J���z�
<br /> NOTE! Parade o 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.
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