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� <br /> Total Fee: $ ;(<.b��` � ' Date Received: �L �� h' � <br /> Entered By: � � Pernut#: —7 � � � � t� � <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 R CONTRACTOR <br /> JOB SITE ADDRESS: �j C7 � "��2�'�C.i a �e C{ �• ZIP: <br /> N�LE OF OWNER: �c`-e '�- �o'� S,��e41'� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:J�C�3 �rn c�o.�2 ►�� , �. CITY: Q rd n,o ZIP: <br /> , <br /> CO\'TRACTOR: S�I�Q. � S�C a PH4I���5',1,�'�)`(9,S 7 y 6 ��� 1 l � <br /> COti�TACT PERSON: � NIOBILE/PAGER(���,.�-�6��q(4 <br /> NL4II,ING ADDRESS: I $3�.2 I"1 ���a�►kc B�..r �. CITY: ��e l�e��¢•� ZIP: 5 S3� � <br /> ST�iT'E LICENSE: # I 3 �d <br /> ARCHITECT/ENGINEER:I/J c��S� D�J� C�..�-a PHOi�TE: <br /> NIAII,I�i tG ADDRESS: 'ITY: ZIP: <br /> NA.`LE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK (describe in detai�: l�a S-�er �j e�r0 oNt , �c� �o� � <br /> l�m S�r C�c,�-e-� 1'v1�)�2.r S `r � ��(�Q a� . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: � � GARAGE STALLS: ATT. DET. <br /> ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ 9S 0 0�1.a� <br /> I hereby apply for a building permit 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 State Buildin� 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 approved plan. <br /> APPLICANT'S SIGNATURE: � . ,��5 DATE: lo b <br /> NOTE! Parade Qt'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 /> 5 <br />