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Total Fee: $ ��p�', (v3 Date Received: �/L;;_�'/���` <br /> Entered By: s� Perm.it#: �4 C�,.;'�-�''� <br /> CITY OF ORONO - BUII.,DItiTG PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR <br /> . <br /> JOB SITE ADDRESS: �.Z ��,C.�f,ry�����a�.� ZIP: <br /> NAI�IE OF OWNER: �Z��d�� PHO�]E: (home) <br /> � � (work) <br /> I�IAII.I�i'G ADDRESS: � G S /�r��-�s CTTY: ZIP: <br /> C0�1TR�CTOR: ,-� � � �o S S� PH0�1E: gS.Z �,�,s=,ZG G� <br /> COi�1TACT PERSON: I�iOBILE/PAGER: ��q -- 3 3/ Z- . <br /> 1�L�iII.,I�i TG ADDRESS:�`�Z/ L��t L e fPc� CTTY:,���u,:.Y��,..=ZIP:�7 - <br /> ;-� __--- -�_ l� <br /> ( STATE LICENSE,_�#- . <br /> �, �- <br /> --- <br /> ARC��TECTlENGI�YEER: P���� <br /> �IAILL�7G A.DDRESS: CITY: ZIP: <br /> N�y�. REGISTRATIOti'# <br /> TYPE OF `VORK: New ddition Accessory Structure <br /> Move Remodel Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �� ��� <br /> STORIES: SQ.F'EET OF EACH F'LOOR: <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> ESTII�iATED CONSTRUCTION VALUATION (excluding lancn: $ �a-rv, — <br /> I hereby apply for a buildinJ perm.it and I acknowled�e that the information above is complete and <br /> accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with <br /> � the State Building Code; that I understand th.is 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 /> APPLICANI''S SIGNATURE: /.��� DATE: �/28 - •Z-o�-o <br /> NOTE! P ra ade 4f Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br />