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� � "Total Fee: $ � /�� 7B Date Received: � --�` � " a <br /> Entered By: r�, Pernut#: � p�z 7,L, <br /> CITY OF ORONO - BL�.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICAIV'T IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2�7 S �Pr �c•y �'f�+:'/ �w.�' ZIP: SS3S6 <br /> NAi'��E OF O`VNER: �T�F�d- SANA� �°RA4 S pH01��: (home) 6�Z 5s3•�SZ� <br /> (work) 6ia • ?So � Z`� is <br /> MAII.L`'G ADDRESS: �o SS/ v2c�/D L/V. N CITY: /A�Qp/e 6/0�•�. ZIP: s'S3/� <br /> C01 TRACTOR: J�rF � sAN�Y PRAuS PHONE: <br /> COIV'TACT PERSON: MOBILE/PAGER: <br /> l�iAII..ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGP,'EER: '4����'''N �Ps��y PHO��E: l/Z • 873• N 3l I <br /> 1�1AILPi i G ADDRESS: /9�lZ�z !✓�v� fe��% l�vr,e CITY: �&/�c .9'+iiye ZIP: sdto �� <br /> NAi�tE: SGe tf' REGISTRATION# <br /> TYPE OF `�'ORK: New V Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detain: Coh s'f�uc �'•La n � hec.� �o�e. . <br /> STORIES: W4���'P'f""��' SQ. FEET OF EACH FLOOR: `�{? $O <br /> NO. OF BEDROOMS: S G_-�RAGE STALLS: ATT. 3 DET. <br /> EST'L��ATED CONSTRUCTION VALUAT'ION (excluding land): S 3 Sa, o 0 0. o0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance w' the ordinances and codes of the City and with <br /> the State Building Code; that I understand this ' not a permit and work is not to start without a <br /> perm.it; and that the work will be in o d with e approved plan. <br /> APPLICA_ti"T'S SIGNATURE: D��; 3-/9• Zdoo <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 /> 9 <br />