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Total Fee: $ ��� � �� Date Received: � - Z � � <br /> Entered By: —,�� � � Permit#: /T� ', �C" <br /> , , ';. <br /> • �� , � , <br /> r,�,vT.F; <br /> CITY OF ORONO - BLTII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print all information) <br /> --------------------------------------------------�--- -'� -----------------------------------------------------= <br /> THE A.PPLICANT IS: (circle on�� O_WNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��85 (''��,oL.o �-� �..� ZIP: j�s:3 �/J <br /> �� <br /> NAME OF OWNER: �-�-✓1 �°�Z�-n r�t- �, PHO�IE: (home) y�� �$8 Z_ <br /> (work) �5".� yc y � U ol�l <br /> 1�IAILING A.DDRESS: ,�o$� �Ct,o�a �'-� ��� _ CITY: VJ u�I 2.�,f�� ZIP: 553% <br /> CONTRACTOR: � ��--�-- � PHO�IE: <br /> C0�ITACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: Z�: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �-.�,�,.� �k,rSt�-�� PHONE: <br /> MAILING ADDRE5S: CITY: Zg': <br /> rJ��; REGIST'RATION# <br /> TYPE OF WORK: New Addition Accessory Structure � -{' C�K_ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. . <br /> ESTlil�1ATED CONSTRUCTION VALUATION (excluding land): � � I [.)� Jv <br /> I hereby apply for a building 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 without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �.c.t,�%iu, l� ,. ��C� DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />