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. � <br /> ' Total Fee: $ �z� �`�� ' � � Date Received: �'��� � % <br /> � Entered By: /�/� ��� Permit#: � � � .:�/;7::� <br /> r <br /> CITY OF ORONO - BLTII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plea.se print all information) <br /> 'THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> � �``� � <br /> JOB SITE ADDRESS: U1�'��� �'X C� / + , l�r�n C�IP: ,���5� <br /> NAl�IE OF OWNER:�i h G�-� � r�L'1 tJ�Vl� PHONE: (home) �'S� ��Z�-�'y 9'`� <br /> (wo k) <br /> ��u.�TG�DxESS: `�'� r- ��� V'�rrY: Z�e: <br /> �C��� <br /> C0�1TR�.CTOR: � � � a ; e xo�: �7 (a3 � �5�- od5'� <br /> COti"I'ACT PERSON• O c � iOBILE/PAGER:�/� � �/O -���I// - <br /> 1ti1AILI�i tG ADDRESS.,L (� f- ;�- CITY: � v ZIP:����j��(Q - <br /> STATE LICENSE: #����D_-�����'Q <br /> ��P �� �3 -�'��2 -c�q <br /> ARCHITECT/E�'GliYEERI S,ScC�C� 5 PHONE:� � <br /> IIAII�I�i TG ADDRESS:�� ����i fJi�- �� ITY: C o ^ ' ZIP. <br /> NA�tiIE: o,LC,�r� (c�-�i��F��--d� P REGISTR.A N# <br /> � TYPE OF `VORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Aiteration <br /> PROPOSED tiVORK(describe in detai�: � � �.� ' ��'�� C ��-S ' " �`_��� <br /> �,� t=� - ;,Z (,. �(c <br /> S . �EET OF EACH FLOOR:��� ��_ �>v i� <br /> STORIES: � Q <br /> NO. OF BEDROO�IS: � G�GE STALLS: ATT. � DET. <br /> ESTIl�1ATED CONSTRUCTION VALUATION (excluding lan�: $ � S ��v� ��� �O <br /> I hereby apply for a buildin� perm.it and I acknowledge that the information above is complete and <br /> accurate; cha[ 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 /> pern�i'� �nd that the work will be in accordance with the approved plan. <br /> APPL i.Cr�NT'S SIGNATURE: DATE: �' I 9�D� <br /> 1�'OTE! Parade Qf Horrtes events require separate permit approval by Poliee Deparhnent and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br />