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; <br /> ` . Total Fee: $ �I i,`� I. ``�" Date Received: � _ h <br /> Entiered By: -, ' Permit#: � ;� - ' <br /> � <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 /> T'HE APPLICANT IS: (circl�`one) OWNER O CONTRACTOR - <br /> JOB SI'I'E ADDRESS: �a�( ��P;�v Ch s� i�r. z�: �S 3 s� <br /> � NAME OF OWNERI � - �;����� PHONE: (home) "Z�O�I��S <br /> J ac� 6�e� (work) �'I a - 141 h <br /> MAII,ING ADDRESS: �as�c, �n�.v-�o� c.-►., crrY: r���,��Q z�:�S30� <br /> A-p� 4��S' � -- <br /> CONTRACTOR: L�c_�� C.��,��-�d� PHONE: q�}�-��9 <br /> CONTACT PERSON: ,,�;� � �n �Q,r{LMOBILE/PAGER: — <br /> MAII.ING ADDRESS:l�340 1P��n� �r �loS CITY: Ee�r RY_t��'c.� ZIP: SS3 <br /> STAT'E LICENSE: # �7�� � <br /> A.RCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGLSTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROPOSED WdRK(describe in detailj:--1�� �t v�ca t� �vy1 i�� �-o(r�� - <br /> STORIES: I SQ.�EET OF EACH FLOOR �s�►r a-oa�'3 A��n �40 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DE . <br /> FSTIMATED CONS1'RUCTION VALUATION (excluding lan�: $ 7jq��� <br /> I hereby apply for a building perm.it 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 ' ordance w' pproved plan. <br /> APPLICANT'S SIGNA � DATE: I�L��'�I� <br /> .e�y L� <br /> NOTE! Parade of Flomes events req e separafe permit approval by Police Department and - <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />