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• _ ', a <br /> Total Fee: $ �� �- � -� Date Received: � �i�- �� <br /> Entered By: � ' Permit#: � `7��' <br /> CITY OF ORONO - BUII�DING PE�tMIT APPLICATTON � <br /> All information must be submitted in full before plan review will be started. <br /> . (please print all information) . <br /> THE�A,PPLICANT IS: (circle one) O�NER OR CONTR.ACTOR� � � _ . . � .�.. <br /> JOB SITE ADDRESS: .�1� � i �u�cr, �� R�� � Z�: ��53 9/ <br /> . , <br /> - NAME OF OWNER: G��" �d) I f�- PHOivE: (home) <br /> � (work) <br /> MAlI.ING"ADDRESS: ��,�1 � ���sr c� � 'P�. �c� cz�rY: �r�,�,� z�: <br /> COti'TRA.CTOR: �j n��;a �S �� � � Pxo�: �-I�1 ��✓ �Oo 1 ��� <br /> CONT'ACT PERSON: T i` vr1 MOBILE/PAGER: � <br /> MA.]I.ING ADDRESS: I y�V "�C��1� '(�� CIT'Y:('�1 U�I�US�'� ZIP:^j�j.] <br /> STATE LICENSE: # �j ,;t . - <br /> AP CHITECT/E�'GINEER: PHO�TE: � <br /> NIA�II�IlYG ADDRESS: � CITY: ZIP: <br /> I�'At��: REGISTRATION# <br /> TYPE OF tiVOR7�: New Addition Accessory Structure <br /> Move � � Remodel/Alteration Land Alteration <br /> PROPOSED tiYORK(describe in detain: ���f �t� - � E - Q�G � _ <br /> STORTES: SQ.FEET OF EACii�I.00R: • - - <br /> NO. OF BEDROOMS: GAR.A.GE STALLS: ATT. DET. <br /> - .� . <br /> EST .II�IA.T'ED CONSTRUCTION VALUATION (excluding land): $ � r n� � • f� � <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with ihe ordinances and codes of the City 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 STGNAT'URE: ' ' ' DATE: �-� �-I -- C�� � <br /> NO?'E! Parade o Flome� events requir separate permit approval by Police Department and <br /> � City Counci160 days prior to the event. Non permiited events will not be allowed. <br />