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� <br /> - � - � <br /> Total Fee: $ �- �f� �J ' Date Received: ' �' <br /> En:ered By: "% �/ .,�� � Pernut#: �' �;1� ; <br /> � � � �' . ; <br /> ,�f � <br /> , . , , � , �- � <br /> �� �� ; <br /> CITY OF ORONO - B �G PERIVIIT 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 SIT'E ADDRESS: �(��j� ,.4-N1 /��. ZIP: <br /> l�A�'�IE OF O`VNER: ������` PHOi�tE: (home) <br /> . (work) �q -3 d v� <br /> NIAILING ADDRESS: �� c�� .,¢����CITY: t��.� ZIP: <br /> :l <br /> ';'" CO��'RACTOR , �� ar�o a �- PHONE: 4S L- ��i� �7n� <br /> �i"�L ,�� COr�TACTPERSON: ���� ��.�,�,��,� NIOBILE/PAGER: 4s"z l.�u�--r'c7o� <br /> � ��� <br /> " � NI.AII..I�i 1G ADDRESS: l!3 5 S' I�-i,v�"7 CITY: (,,,��,,,-;� ZIP: s 5 3� 7 <br /> ' ST�iTE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> ��IAII.,L�,'G ADDRESS: CITY: ZIP: <br /> �T�ti1E: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration�_ � ��t <br /> (�(d'�c u `r��g,y <br /> PROPOSED WORK(describe in detai�: -7 g�,-1$',� S �S"s��s <br /> � � Zs = <br /> 5� _ <br /> STORIES: SQ. FEET OF EACH F'LOOR: <br /> 1�T0. OF BEDROO�iS: GARAGE STALLS: ATT. DET. <br /> o., <br /> ESTLI�IATED CONSTRUCTION VALUATION (eYcluding land): $, J�,��l��— <br /> I hereby apply for a buildinJ 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 Ciry 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 b ac rda, with � appro d plan. <br /> , <br /> �. <br /> APPLICA:�T'S SIGNATURE: i ATE: � f� <br /> NOTE! Parade of Homes events require separate p it approval by Police Department and <br /> . <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />