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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all information) <br /> -- . <br /> _._.,,� ---=� <br /> ------------------------------------------------------------ ---------- ----------------- <br /> ._--�`--- > <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR � <br /> � _--�', <br /> ZIP: � <br /> JOB SITE ADDRESS: J� � �� <br /> �� . �c PH0�1E: (home) Z`f� - ��I �' <br /> I�TAME OF OWNER: i_�' - ��� . <br /> (work) <br /> 1�IAILI1�i TG ADDRESS: . CITY: ZIP: <br /> SELA ROOFING& REMODELING <br /> 4100 EXCELSIOR BLV� pHOti'E: �-�'�2�`���'���{�_ <br /> CONTRACTOR: � ��T I Qj,ll'�, PARK ���I 5F,41 F� <br /> CO�1'I'ACT PERSON: �D#000i o5�1IOBILE/PAGER: <br /> MAILING ADDRESS: CI'TY: ZIP: <br /> STATE LICENSE: # � �� <br /> ARCHITECT/ENGI�7EER: PHO\�: <br /> MA,IL�'G ADDRESS: CITY: Z�: <br /> N�y�: REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK (describe in detain: � ��,�t?- �(� ���� !�'�tiS�� ��-�u<< �� <br /> ( � R ( I <br /> �,�L,� C��G1� �v-��,Qil' c-� �r' ��'�c�� '�Yt.,ti\ r c ��c� c ',, ,��.�r�..� d���4-[�,;,a �,�`�. ca,(� cYIS c�( <br /> . <br /> ��.C.Lj �c.����vL� ��+�� - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> I�TO. OF B�DROOi�7S:� GARAGE STALLS: ATT�. � DET. - - - �-- � <br /> �'� � <br /> EST iMATED C4`'STRUCTION VALUATIO\ (excluding land): � �c , �l �.� - <br /> I hereby apply for a buildin;perniit 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 Ciry and with <br /> the State Buildin� Code; that I under tand this is not a permit and work is not to start without a <br /> permit; and that the work «�ill be ' c�orda�;ce w~�th the approved plan. <br /> � i i �%; �_ I � <br /> APPL <br /> ICANT'S SIGNATURE ' ` i ��" � � � ,� � D�TE: O Y < � <br /> h'OTE! Parade Qf Homes eve ts require separate permit ap�roval by Police Deparlment and <br /> City Council 60 days prior to the event. 1Von permitted events will not be allowed. <br />