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Total Fee: $ 9/S S7 " 'r'`� , Date Received: �v��`t IC <br /> � ' � <br /> � ` _uJ4,KICIIIllt#- � <br /> Entered By: , ��-t�r� �, I�.i:,I D�P <br /> CITY OF ORONO - BITII,DPtG PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirct all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> — _/ <br /> JOB SITE ADDRESS: �Z �o�� �"D� �-S T ZIP: �� �✓�P <br /> NAl�IE OF OWNER: ����►� �-fl� v'G�/i��v�l_ PHO�tE: (home) <br /> (work)1��5D-��'�— 9�7�v <br /> i�LAII.,L�1G ADDRESS: CITY: ZIP: <br /> CON'TR.ACTOR: `� � D PH0�1E:2 - J �D a.Sl <br /> CO�"I'ACT PERSON: L a,� �/� iOBII.E/PAGER: �.- l� - <br /> ���vG AnDx�ss: �l Ufl ,�3p v��s��r,� Lh crrY: z�: �p - <br /> STATE LICENSE: # �.p�5���j O : . ��j�.��� � _ �C�2� <br /> ARCHITECT/ENGINEER: �C IC pHONE: (�(�.��?�7�7-! <br /> l�L4II..ING ADDRESS: t D _ CITY:J'���S Z�:---�:�3 <br /> N��,�: REGISTRATION# <br /> Accesso Structure �� <br /> TYPE OF `VORK: New Addition rY <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED tiVORK (describe in detain: �l L�'-��`�� <br /> STORIES: l 1�.. SQ. F'EET OF EACH FLOOR: � l � <br /> NO. OF BEDROOI�IS: � GARA G E S T A L L S: A T T. _� D E T. }G <br /> EST .I�i IATED CONSTRUCTION VALUATION (excluding lanc�: $ . , '`T �j Q�� <br /> I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and <br /> accurate; �hat the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin� Code; that I understand th.is is not a permit and work is not to start without a <br /> pers�'� ��d that the work will be in accordance with the approved plan. <br /> APPL�.C:�NT'S SIGNATURE: � DATE: ��o� ��1�� <br /> 1�'OTE! P ra ade 4f Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. �'Von permilted events will not be allowed. <br />