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� . <br /> G' <br /> Total Fee: $ //�3� S � Date Received: � `�� <br /> Entered By: Permit#: _!I o��(� <br /> CITY OF ORONO - BUILDING PERMIT' APPLICATION � <br /> I <br /> A.11 information must be submitted in full before plan revie�v �-ill be started. . <br /> (please print all information) <br /> THE APPLICA.ri'T IS: ' (circle one) O��NER OR CONTR.ACTOR <br /> � <br /> ' ZS� �A ���=r2rti��sl zrn: <br /> JOB SITE ADDRESS: ; � <br /> I�'AI�IE OF Oti�TER: C-v''t�r' S 1 A T`�_S PHONE: (home) <br /> (work) � <br /> �' � ZIP: <br /> �IASLING ADDFESS: I-1.�- S r1fi���r��,� CITY: <br /> CONTRACTOR: ��,�', � C i�- � ,.7��� C���� �. PHONE: � /� � � S -� � <br /> CON'TACT PERSON: b �� lYiOBILE/PAGER: �-� 7 — 3 � r � <br /> MA1LI�'G ADDRESS: s � S— �_`-���,�,._ � _ CI1'Y: r'� L�,., r�..I ZII.': s s 1 E � � <br /> ;� <br /> STATE LICENSE: # _ �;� `i � <br /> ARCHITECT�E�GII�TEER: PHO`'E: � <br /> �7A.ILI�i'G ADDRESS: CIT'Y: ZIP: <br /> �T�ME: REGISTRATION� <br /> TYPE OF S'4'ORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration _ <br /> '`- � �� 1�.� (Z a.=! �` <br /> PROPOSED'�YORK(describe in detai�: ► �`7`s f� � <br /> STORIES: SQ.�'EET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � <br /> . . . . . J,3. . <br /> ESTIl�IA1 ED CONSTRUCTION VALUATION (excludi.ng land): $ �`�� � �`� - <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 wich the ordinances and codes of the City and with <br /> the State Buildi.n� Code; that I understand this is n t a permit and work is not to start without a <br /> pernuc; and th�� the work will be ' accordance w th th �pproved plan. <br /> � �� �--- <br /> APPLICA.i�"T'S SIGI�'AT'URE: � DATE: �— �� �t� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> � City Counci160 days prior to tke event. Non permitted events will not be allowed. <br />