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Pf��s� �Z, <br /> Total Fee: $ / i ��-�l � Date Received: <.�-%d' �� <br /> Entered By: Permit#: 1 �� �.�z. <br /> CITY OF ORONO - BLTII�DING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICA�'T IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SIT'E ADDRESS: ,�Z3 i 5 ��U�N L ��-T;�-� C;�„Jc� ZIP: SS 35� <br /> I�'A1�iE OF Otii�"ER: -�JJv u��,�� �o�7 r-r a�ti PI30NE: (home) �{7.6' �l £f/ <br /> (work) <br /> NIAILPi 1G ADDF�ESS: �3 i� .t�z�,N L�� CITY: [L�N�� G.��t ZIP: SS3 S� <br /> COVTRACTOR: �`•�, G'S r►2�r( E ;�v�v' PHONE: `���� /���3 <br /> CONTACT PERSON: �I�r��l� ��r1 I�IOBILE/PAGER: ,�i �- �So �. <br /> MAII�I\'G ADDRESS: �U.6v X �s� CITY: �.rl�z s r�,z ZIP: SS 33/_ <br /> STATE LICENSE: # /�10� <br /> ARCHITECT/E\TGTi�TEER: PHOi�tE: <br /> �IAILING ADDRESS: CITY: ZIP: <br /> rJ�,�; REGISTRATION# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration `/ Land Alteration <br /> PROPOSED WORK(describe in detain: �(�� � .���5 s��� o�R �--t����'�;1.— <br /> �/1�'�l�i E �H�f l�E�Q�c <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�IAT'ED CONSTRUCTION VALUATION (excluding land): $ I�S�� � <br /> I hereby apply for a buildino permit and I acknowledge that the information above is 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 /> permit; and that the work will be in accordance with the approved plan. <br /> � DATE: 3 � y y <br /> A.PPLICANT'S SIGNAT'URE:��cr�-�-�- ( ti�-� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />