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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BLTII�DING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan re�iew will be started. <br /> (please print all information) <br /> _____.�—---- __ <br /> �__ — w_ <br /> THE APPLICANT IS: (circle one) OWNER OR�QNTRACTOR <br /> _ _____--_, <br /> � <br /> JOB SITE ADDRESS: �I�l i-��G�-r<•-'� � <br /> :�S C���;-' ��i-�i�ZIP: 5 S=�� `/ <br /> NAi1�IE OF OWNER: �vU�E �Q�=�� PHO�tE: (home) <br /> iS�- �.� � ���y <br /> (work) 7� � .��.�-3� �3 <br /> 1�IAILING ADDRESS: l��l �A�,2,���; -IJr ��.� CITY: �%�=�-,�� ZIP: �s->3�,y <br /> C0�ITRACTOR: l�� �'"T�z+� /��l�-i,���ti�rl�k:���c,"-'PHOI�TE: G�a-,���-_��f3 <br /> CONTACT PERSON: �'<w� ���� NiOBILE/PAGER — � <br /> M.�II.ING ADDRESS: �{e�S �e�� �� c s;, CITY: yv�rf��5 ZIP: s=s-�i� . <br /> STATE LICENSE: # ����-�-� 3 38 <br /> ARCHITECT/ENGINEER: PHO�tE: <br /> I�L�II.LtiG ADDRESS: CITY: ZIP: <br /> N�v�: REGISTR.ATION# <br /> TYPE OF `VORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration ,� Land Alteration <br /> PROPOSED ti�ORK(describe in detain: `����z cFF !�'V5 c '`����_ ` '�-�''�Z`. <br /> iJ t,r� <br /> STORIES: � SQ.FEET OF EACH FLOOR: ✓ DET. <br /> NO. OF BEDROO�IS: GARAGE STALLS: ATT. <br /> /'_-���� �;,�L��yz� <br /> ( ' � �,�, <br /> EST11�i IATED CONSTRUCTION VALUATION (excluding lan�: $ %� �U� - <br /> I hereby aoply for a buildin� permit and I acknowled�e that the information above is complete and <br /> accurate; chat 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 /> pemut; and that the work will be in accordance with the approved plan. <br /> �' (o ��-� _ c;� <br /> APPLICANT'S SIGNATURE: (`��� �- ���� DATE: <br /> NOTE! ParadeQf Homes events require separate permit approval by Poliee Departmenr and <br /> Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br />