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Total Fee: $ /�Pa. a.3 Date Received: �- f� �C/� <br /> Entered By: � Permit#: � � �3 � <br /> CITY OF ORONO - BI7II.DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all informarion) <br /> -------------------------- - ----------- <br /> T'HE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,l D fo�'E5T .�42�S L w . ZIP: S'S c3 G y <br /> NANIE OF OWNER: C�9�LA L k�4� -S'o �t,.5w SE�v PHO�IE: (home) Y7 z- 7?30 <br /> (work) y7 z - liiyo <br /> �IAILING ADDRESS: �o ,co.e�sr.q.er�s �•t•. CITY: �d v�-a Z�: s s 3 C S� <br /> CONI'RACTOR: PHO�TE: <br /> CONI'ACT PERSON: MOBILE/PAGER: . <br /> NI�iII.ING ADDRESS: CTI'Y: ZIP: � . <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH0�1E: <br /> 1�IAII�ING ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �1 F P�•�c•� � �' G '�' �''`� <br /> N vs <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. <br /> ESTI�i tATED CONSTRUCTION VALUATION (excluding lanc�: $�d �, o� <br /> I hereby apply for a buildin�permit and I acknowled�e that the information above is couiplete and <br /> accurate; �hat 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 perrnit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> , <br /> APPLICAN'T'S SIGNAI'URE: - D�TE: y_,/z- d o <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparbnent and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />