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Total Fee: $ Date Received: <br /> �Entered By: ,�' 1 . Permit#: %/`� '' <br /> � . <br /> CITY OF ORONO - BLTII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review ��-ill be started. <br /> (please print all information) <br /> THE A.PPLICAi�'T IS: (circle one) O�NER OR CONTRACTOR <br /> ` , <br /> JOB SITE ADDRESS: ;�-�1 Iu �'�'L2,�/�/,�� Z�: <br /> NA1�IE OF O��fi�R: �` � ����c' ���a�tz�- ��� ,�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: `=C%�j ,�.� �c�ti`���, CTTY: Gti �� ,)�� _ZIP: <br /> CON'TRACTOR: E-� A C� t��� �t�����ti�4' C����,� <br /> PHONE: ��/� - y ?�-� �- 't 7 ? .� <br /> CONTACT PERSOti': �I �� { ,�_,.� t:� MOBILE/PAGER: <br /> MAII�Itii'G ADDRESS: �C1�v �� c;;�� �( �� _CITY:y�= � c �<< ,�,;,._ ZIP: �-r- 2 _�,� <br /> STATE LICE�'SE: # L�� � `�_ <br /> ARCHITECT/ENGItii'EER: PHO`'E: <br /> i1�IA.ILI�i'G ADDRESS: CITY: ZIP: <br /> ���,�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED ti�ORK(describe in detai�: QZ� ,,,�,;� �N R �c €' �G�� � C �`�''��-`�" �'�'' <br /> C-� �� S.. ^�� c�� ._.� � �'�1tJ< C �i � lC � ��'•C�C �� S LC '-�c"` �r• <br /> � <br /> STORIES: SQ.FEET OF EACIi FLOOR: <br /> NO. OF BEDROOiI�IS: GARAGE STALLS: ATT. DET. <br /> Z �, <br /> ESTII�IA.TED CO�tSTRUCTION VALUATION (excludi.ng land): $ 1 � �'('� �- � <br /> I hereby apply for a buildina 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 pernut and work is not to start without a <br /> pernut; and thac the work will be in accordance with the approved plan. <br /> A.PPLICAl�"T'S SIGNATURFs:� ��,.�_._ ��-������ DATE: =% � � `� ��`� — <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 />