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� <br /> , <br /> + � Total Fee: � DateReceived: <br /> Date Approved: <br /> Entered By: Tj't� . Permitn: ;�n/I <br /> CITY OF ORONO - BUILDING PERI�IIT APPLICATION <br /> ALL IVFOR�tiIATION�IUST BE SLBI�ITTTED P1 FULL BEFORE PL��t REVIEti�tiVII..L <br /> BE STARTED <br /> ---------------- ------ — <br /> THE APPLICr��'I' IS: (circle one) OW`IER CONTRACTOR <br /> JOB SIT'E ADDRESS: ,��QC� � N v��a � ` , ZIP: <br /> NAiI�IE OF O`VNER: � � m �SC�Vl�,�;� PHONE: (home) <br /> («�ork) <br /> I�IAILING ADDRESS:ZS`�`' ����•.w� CITY: ZIP: <br /> CO <br /> NTRACTOR: ��• , S � ` � � PHO�IE: � ��-_ ��:3 `�7 <br /> . I�IOBILE PHOiVE/PAGER: �0 7 � � � � -7 <br /> � � ITY: � v�i� ZIP: SS�EL. <br /> I�iAILING ADDRESS:S"�1' 7 .S �-�r��:���' ��-•�i � <br /> STATE LICENSE: # ���`1 <br /> ARC�II'TECT/Eti'G�EER: PHONE: <br /> I�IAILI�i 1GADDRESS: CITY: Z�: <br /> NAivIE: REGIST'RATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAlteration � Land Alteration <br /> �-� �� L--X r- , f1 l/(�v`1 <br /> PROPOSEDWORK(describeindetail}: �� <br /> �- �.-t. - <br /> STORIES. __ SQ• �ET OF EACH FLOOR: <br /> NO. OF BEDROOI�IS: GARAGE STALLS: ATT. DET. <br /> � <br /> �� � � . _-- <br /> EST .MATEDCONSTRUCTIONVALUATION(eYcludingland): $ � <br /> I hereby apply for a buildin� permit and I acknowled�e that the information above is complete <br /> and accurate; that the work will be in`conformance with the ordinances and codes of the City <br /> and with the State Buildin' Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work wiil in a cordance with the approved plan. <br /> APPLICAIV'T'S SIGNA'I'URE: DATE: � � �! � <br /> NOTE! pQrade of 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 />