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M Total Fee: $ �� �W `�_3 Date Received: , /a���� , <br /> , <br /> � Entered By: ��W(._ Permit#: �>�� �//�%C_' <br /> � �i �� �,,r, CITY OF ORONO - BUILDI�i 1G PERIVIIT APPLICATION <br /> �, �� .� <br /> 2 All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICA.ti�' IS: (circle one) O`ViVER CONTRACTOR <br /> — ���,.,,�� <br /> JOB SIT'E ADDRESS: 3SY �YS%�t- C'�2i .��- �_ ZIP: S���s � <br /> ' � (riome) �SZ- y�Cp-�-�'"�'' <br /> NA.�iE OF O i�R �S��J r a r%N�� PHONE: 7 <br /> . (work) (!��Z-3�n - c�}'b'� <br /> �� <br /> vIAILING ADDRESS: 5��-►"_ CITY: ZIP: <br /> CO\�'RACTOR: /�/0� PHONE: <br /> —� . <br /> CO\�I'ACT PERSON: �iOBILE/PAGER: <br /> vL�II..I�i tG ADDRESS: CITY: ZIP: <br /> ST�T'E LICENSE: # <br /> ARCHITECT/E�GINEER: ,/�f/� PHO�IE: <br /> v1AII,L�1G ADDRESS: CITY: ZIP: <br /> `'.4..�IE: REGISTRATION# <br /> T��PE OF `VOR�i: New Addition Accessory Structure � <br /> Nlove Remodel/Alteration Land Alteration <br /> �` <br /> PROPOSED WORK(describe in detai�: �G c-K ��7 L:n�S��-1 W i-T'�'� �-7 A ���o�' <br /> ,�'�p�•�-�C� C�iN �x rP�(Si o M - <br /> STORIES: I SQ. FEET OF EACH FLOOR: ��I <br /> NO. OF BEDROO�IS: � GARAGE ST�I.LS: ATT. �� DET.,�//fI <br /> , �— <br /> EST�L�TED C0�ISTRUCTION VALUATIO�i (e��cluding land): $, �Q a� <br /> I hereby apply for a buildin� pernut and I acknowledQe that the information above i� complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin; Code; that I understand this is not a permit and work is not to start without a <br /> perm.it; and that the work wiII be in acco ance with the approved plan. <br /> APPLICAIVT'S SIGNATURE: DATE: 7..�� C � <br /> NOTE! Par o Home events require rate permit approval by Police Department and <br /> . <br /> City Councal 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />