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� <br /> ' ��'�r�t/ <br /> Total Fee: $ 1 � � � Date Received: �j�j-0 3 <br /> Entered By: c Pernut#: /-� ('C�a�/ <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> ' ,� � ti\p�7 All information must be submitted in full before plan review will be started. <br /> ��; . <br /> , '�(� \ (please pnnt all information) <br /> � � � <br /> ----------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O`�NER OR CONTRACTOR <br /> JOB SITE ADDRESS: � ��� �-�N LaTz-�?�/a S� ZIP: �'S 3 a 1 <br /> NAI�IE OF OWNER: S i r�K t N +o vJ��. PHONE: (home) ��� �'�'�v <br /> . (work) <br /> MAILING ADDRESS: I �ta o C���o�D��, �� CITY: o Ro N� ZIP: �S 3 q ` <br /> CO\�TRACTOR: � �-Lr PHONE: <br /> CO\�TACT PERSON: NIOBILE/PAGER: <br /> 1VLAII..P�tG ADDRESS: CITY: ZIP: <br /> ST�T`E LICENSE: # <br /> ARCHITECT/ENGI�1i EER: PHO�TE: <br /> MAII.,Itii'G ADDRESS: CITY: ZIP: <br /> NA.IIE: REGISTRATION# <br /> TYPE OF WORK: New x Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> % .K����, <br /> PROPOSED WORK(describe in detai�: S�-�t� (, �C g ��/Z �_ � (� <br /> Y <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 1`'O. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> EST�IA.TED CONSTRUCTION VALUATI0�1 (excluding land): $ <br /> I hereby apply for a buildin� permit and I acknowled�e 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a <br /> pemnit; and that the work wi�I be in accordance with the approved plan. <br /> APPLICAI�iT'S SIGNATURE: ��� � j�•-� DATE: a-�-�3 <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />