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, � <br /> Total Fee: $ ��� �7 Date Received: <br /> Entered By: ��(�- Permit#: _T��c,,� �j <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 information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: yyBS ,���f�(� 12�. ZIP: <55359 <br /> NAME OF OWNER: J p G /�F�t� PHONE: (home) �/�5 0 a/a <br /> (work) 7y 7 a�� 7 <br /> MAILING ADDRESS: L�`�8 S &Lt,�s;c�e 12� CITY: �`o n►o ZIP: 553s9 <br /> CONTRACTOR: �e.,�F PHONE: �(9s oa�a <br /> CONTACTPERSON: S'o c MOBILE/PAGER: 7N7a66 7 <br /> MAILING ADDRESS: �(�(9 S (3cu,��1o(e 12d� CITY: Qron�a ZIP: 55 3SS <br /> STATE LICENSE: # N/,� <br /> �T���II�'E�T!EN�INEE�R: PHONE: <br /> 1�TAILING ADDRESS: CITY: ZIP: <br /> NA1�IE: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration _� Land Alteration <br /> PROPOSED WORK (describe in detai�: oo /nav-� -�+^uC�u�^� <br /> , � <br /> rrnoe r a <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /�j,� <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurat�; 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 /> APPLICAl�'T'S SIGNATURE: � DAT'E: I 0-�3�Q�j <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 /> 5 <br />