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Total Fee: $ ��C'� - �F�c Date Received: ,�'�oZ 3�r i _ <br /> Entered By: _� `r.;_ Permit#: I`����3:t-- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � <br /> l <br /> A,ll i.nformation must be submitted in full before plan revie�v �zll be started. . <br /> (please print all information) <br /> -_---- -_- - - --_----- <br /> T'HE A.PPLICA2�'T IS: (circle one) OtiVNER O CONTBACTOR � <br /> � � � <br /> JOB SI'I'E ADDRESS: � �� � - 1"�.zrn: � �� / � <br /> A.I�SE OF Oti�TER: �� _ av I�!-��G l�1� PHONE: (home) '--���- c7�� � <br /> N <br /> � (�v��.�_ '��.. �.���.�--�- (work) � �`f��`l�S'2r .1����� <br /> IYIA1LItiTG ADDF.F.SS: ,�v� /=�,c�v�� �.J(�C--CITY: C�.,C�-�,7i,,�, ZIP: �` �i <br /> —�. <br /> CONTRACTOR: PA��� <br /> CONTACT PERSON: MOBILEIPAGER: <br /> MA.II..Iti'G ADDRESS: CITY• ZIP: <br /> STATE LICE�'SE: # � <br /> A.RCHITECT�E�TG .Ttii'EER: PH�NE: � <br /> 1'S�.II.I\i TG ADD�tESS: CITY: ZIP: <br /> �TAME: REGISTRA.TION# <br /> TYPE OF tiYORK: New Addition Accessory Structur��'��. <br /> Move Remodel/Alteration Land Alteration <br /> I � <br /> PROPOSED'4�ORK(describe in detai�: 1����:�t�-�{ Z� L' <br /> STORIES: � ,, Q.FEET OF EACH FLOOR: I ( Zv � �� <br /> \'O. OF BEDROOMS: ' � GARAGE STALLS: ATT. DET. ��`Z���� .� Z �) <br /> . �` `=- <br /> ESTIi�IATED CONSTRUCTION VALUATION (excludi.ng land): $ ���¢ � <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance wich the ordinances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a pernut and work is not to starc without a <br /> permit; and thac the work will be in accordance with the approved plan. <br /> � DATE: � � <br /> APPLICA.i�"T'S SIGNAZ'UR,E"i�� ! '' ----/ <br /> ' , <br /> NOTE! Parade of Homes�ts require separate permit approval by Police Department and <br /> � Cily Council 60 days prior to tke event. Non permitted events will not be allowed. <br /> 2� . <br /> J <br /> ��J/ <br />