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� � i <br /> t , <br /> ' - 1 G7 <br /> Total Fee: $ -'�� � . i Date Received: /���,'��'s <br /> Entered By: ��� Permit#: ��GC�(�% <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB STI'E ADDRESS: �s�� ��,cJ . �d ZIP: SS3 9 / <br /> CJ ,tJO <br /> NAME OF OWNER: �GE� � ut c!� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /-�FSO �rf�s �fi . 1� CITY: C>,��tJo ZIP: �.539 <br /> CONT'RACTOR: L.�}u-E� � rj?6 pH�NE: �75-3 33a <br /> CONTACT PERSON: �j nJ L.�}-�,� MOBILE/PAGER: 3ff 6 - 76 7'.;'" <br /> MAILI'�i'GADDRESS: �o� E, t�$�C.0 5?_ CITY: WAY�9-Tit- Z�� MI�I <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N���; REGISTRATION# <br /> TYPE OF WORK: New Addition /Accessory Structure <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detai�: ��� or��E o J�"� �t�-NT�•�, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ �� �� • � <br /> I hereby apply for a building petmit 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 in ac r nce with the proved plan. <br /> APPLICANT'S SIGNATURE: DATE: /D � �_ <br /> NOTE! Parade of Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />