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_ _ <br /> _ ___ <br /> `` _ <br /> Total Fee: $ � �ll,a`:> j`'�_ Date Received:�.2-�' '� � � <br /> Entered By: �1-�,� - - Permit/t: _�� <br /> CITY OF ORONO - BiJILDING PERNIIT APPLICATION <br /> All inPormatson muat be submitted in full beiore plan review will be started. <br /> (ptease print aIl i�formation} <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB 5ITE ADD.RESS: ,---� ' +�- � ' ' � ' ' ZIP: ��'�`���� <br /> NAME OF OWi�1ER: PHONE: (home)_ <br /> (work}_ <br /> MAILING ADDRESS: __CI'TY: ZIPs <br /> �� � � ``�/�`� PHONE: ���l��"��_`_�� <br /> CONTRACTOR: �"� ,l Cl�C � / <br /> CONTACTPERSON:_ K�" C�c.c'__rt�f�- MOBII.E/PAGER: "� <br /> MAILING ADDItESS: S LCc�'l.� 5`� (,�:'..�CITY: �C�i� u�_ZIP: <-�-= �� <br /> �TATE LICEN3E: � ,=�(��� � �5-S(G <br /> ARC�IITECT/ENGINEER:__��G1 /UG�� PHONE: �7�I -��� <br /> MAII,ING ADURESS: �Y� ��� <br /> ��: REGISTRATTON!/ <br /> TYPE nF WORK: New � Addition _ Accessory Structure <br /> Move RemodellAlt�ration Lan�d Alteration <br /> PROPOSED WORK(describe in detat�; ��{ .G�i�'� .� ---- _ <br /> ��_ ' <br /> � � � • <br /> Ltvbl f.��< � � �, <br /> sTox�s: � .- . �;� �c., sQ.���r oF'F.ACH FLOOR: a�1 � �����u�� r�s� P��'� <br /> NO. UF BEDROOMS: � GARA(�E 9TALLS: ATT. �_ DET. � -�� <br /> �3TIMATED CQNSTRUCTION VALiJATION (excluding land): $ 3 S � <br /> I hereby a�ply for a building pe�mit and I ac:knowledge that die infom�ation above is complete and <br /> accurate; that the woric wifl be in conformance with the ordinances and cocies �f the Gity and with <br /> ' t}u State Building Code; that I understand ihis is not a perniit and work is not to start without a <br /> permit; and that the work will be in accor�ance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � nATE: <br /> NOTE'1 �S t�'Hnmes events require separate permit apprnval by Pol�ce DepartmeRt and <br /> Cfty Coune�160 days prtor to the event. Non perrr�itted events wilI not 6e adlowed. <br />