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. 1 <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - B�UII.DIVG 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: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� C.� � Cl�ise Z�= ��-�� <br /> NAl'�IE OF OWNER: j a���K�,��+ .�loy�u�; PHO�IE• (home) ���-.�7�7 <br /> (work) <br /> 1�IAII�ING ADDRESS: -�- /3% C��,v C/�-�, s�-CTTY:�y���� ZIP: Sssxt <br /> CO�'TRACTOR: ��� "SGi�' 20��� � PI30�1E: �J/ -3�`�'� <br /> CONT'ACT PERSON• 6 +=,,,�� < i s��-, _ MOBILE/PAGER: ��'� - 3 � 5�' . <br /> NIA.II.ING ADDRESS: 3�f 9(� SGt�.e���.e ���. CITY: �t�����: ZIP: �"�s.�`I/ . <br /> STATE LICENSE: # Z��z��i 7�_ <br /> ARCHITECT/ENGINEER: PHOti'E: <br /> �IAII�Il�'G ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> � <br /> r�oroSED WORK(��scri8e in�etai�: �Tw� �u rr ��✓ ��� � �� lu�:�_ ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. <br /> ESTI�i IATED CONSTRUCTION VALUATION (excluding lancn: $ ?��C�. �c=� <br /> I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and <br /> accurate; chat 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 pennit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> i' � " ��� � o0 <br /> APPLICANT'S SIGNATURE: /�� �;��,-�'�— DATE: S�-i- <br /> NOTE! Parade Q Homes events require separate permit approval by Police Department and <br /> City Counei160 days prior to the event. Non permitted events will not be allowed. <br />