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�l <br /> Total Fee: $ 301�• 53 Date Received: C(- ��- ,�C.�:� <br /> Encered By: �,�� Permit#: 4(�7�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <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: ,�"`�.3 %�g�y�� �-�'�� ZIP: .���`>� <br /> NAI�iE OF OWNER: rTE �'�-�'�'�"f PHONE: (home) �S� `fd� 9'✓ �,3 <br /> . (work) <br /> MAILL�IG ADDRESS: ,S.4.r�� CITY: ZIP: <br /> CO\"TRACTOR: ,�Ga�i-y✓�4- � C�r� /N�PHOl��:_ �'l�� �f7,� ��� � <br /> COti-TACT PERSON: 7�ir/ 1/��4 MOBILE/PAGER: �p/z �t�� '�S �'� <br /> NLAII.Pi tG ADDRESS: �r3B3 z-1.S0 CITY: .4�.��'r1/GJ" ZIP:�e�! <br /> ST�iTE LICENSE: # ..��-�� �3� <br /> ARCHTI`ECT/ENGINEER: PHO�TE: <br /> MAII.I�i 1G ADDRESS: CITY: ZIP: <br /> NA�IiE; REGISTRATION# <br /> TYPE OF `VORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: � GARAGE STALLS: ATT. DET. <br /> ESTL�IATED CONSTRUCTION VALUATION (exclud.ing land): $ <br /> I hereby apply for a building pernut 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 Scate Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pemnit; and that the work wilI b in accordance with•the approved plan. _ <br /> APPLICAIVT'S SIGNA _.__._ ATE: i' 'iv2'�,� <br /> .. <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 allowe,`d. <br /> 5 <br />