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r7 `� / <br /> Total Fee: $ / C'� � �ate I�eeeive�: �Q �,��,�i�r <br /> Enter,�d By: _ - ,.�� Perrr;it#: �I / / <br /> � � � �f� rrri �, ;�, , <br /> � _�;��tir���;i��-� �1St� -->��Y���-r,� , <br /> CITY OF ORONO - Bj�][��I V�G PERNIIT APPLICATIOleT <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 SITE ADDRESS: �9 l3 tci�1��Y�.fs-�, �,,ks.-�-�>�� . ZIP: ,���� � <br /> NAME OF OWNER:�j����,�L-� S�(>,V�� PHONE: (home)�}7(—C�ot7� <br /> ^ (work) <br /> MAILING ADDRESS: �q 3 ` E�►��'.,; Q'w-�t�l'CITY: � c>,�c, ZIP:�S3`i � <br /> CONTRACTOR: --- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ' Land Alteration <br /> PROPOSED WORK(describe in detai�: ���,,�,�, ;„��, �,� �— Te���iC� o� -�;n�..� <br /> t.,�<,,�i 1 ,��+�. l�'' re.-��,�� ������ �(.�x�. <br /> .-�� <br /> STORIES: SQ. FEET OF EACH FLOOR: ' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G• <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 0 0� <br /> I hereby apply for a building permit and I acknowledge that the information ab�--}s��omplete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building 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 a oved plan. <br /> APPLICANT'S SIGNATURE:—������ — DATE: c�,� CG� <br /> NOTE! Parade 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 />