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� TcStal Fee: $ DateReceived: <br /> DateApproved: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BESTARTED <br /> ---------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �3os c�,,`np��,c�� Lc�n e ZIP: �-5��-y <br /> NAME OF OWI�TER: '�i�a Dc� G'ar n i� � "HONE: (home) <br /> (work) <br /> MAILING ADDRESS: L13p� C i t�n ��G. LN CITY:_p�� ZIP:�,�s� <br /> CONTRACTOR: ry���nE�.,�c� �x�er�CrS ��� PHONE: -�G3- 3`�l -SSaB <br /> MOBILE PHONE/PAGER: <br /> MAILINGADDRESS: 8E� St��es�c+n lfw,� CITY: Cl55e�, ZIp; �,�',3� <br /> STATE LICENSE: # a,��7 �— <br /> ARCHTTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIp; <br /> NAME: REGISTRATION # . <br /> TYPE OF ��'ORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED«'ORK(describeindetail): Re, S��linC3► <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� a?Q o� <br /> I hereby a�plti� for a buildina permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State BuildinQ Code; that I understand this is not a permit and work is not to start <br /> without a perniit; and that the work will be in accordance with the approved plan. <br /> APPLICAl\T'S SIG\TATURE: a�c, D�,T`E: , a? p6 <br /> NOTE! Parade o, Homes events require separate permit approval by Police Departrnent and <br /> Ciry Couricil 60 days prior to tlze event. Non permitted events will not be allowed. <br /> n <br />