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� ` <br /> Total Fee: $ _ _`S/ 3 Date Received: '�����O� <br /> Entered By: ��y; Permit#: �}p�^3 G <br /> CITY OF ORONO - BUII.,DPtG PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: J� `�� �'G� .�/����J ZIP: 5 S.3L%f <br /> NA1�fE OF OtiVNER: .�Gl�l�l� JGff'�I( �GLfj"!� PHOi�tE: (home) `f 7 3 -G.3 7� <br /> (work) <br /> MAII..�1G ADDRESS: 1 S �v �c x S T���T CITY: c%�c�sl� zIP: � '3�' <br /> CONTRACTOR: �'��GL �SG'� GGl�IGE-�� PHONE: �76 l/S� <br /> COi�1TACTPERSON: �?cSS �'c-��.5�'��MOBILE/PAGER: ��fS --i�'/ Z . <br /> M�iILI11G ADDRESS: 64�l5� w�t�l�t��l4C.�l� CITY: S i����^�ZIP: SS���' . <br /> STAT'E LICEl�SE: # ��/� ��.Z�3 <br /> ARCHTTECT/ENGINEER: PHONE: <br /> 1�iAILII�'G ADDRESS: CITY: ZIP: <br /> N�,�: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �-��7�' �Gc� � <br /> STORIES: SQ.�'EET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�IATED CONSTRUCTION VALUAT'ION (excluding land): $�?;GGc; � �' _ <br /> I hereby apply for a building permit and I acknowled�e 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 Building 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 SIGNATLTRE: l`� -� � DATE: zE' �G <br /> NOTE! p�rade 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 allowed. <br />