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� <br /> . . � i,;�, <br /> ��, ��-�� ' ; - <br /> Total Fee: $ '�,. , Date Received: � -� �- �L <br /> Entexed By: �'�n �, r Permit#: �> $��� <br /> ' ��,-�� �,v p �— <br /> CITY OF ORONO - BU�II,DING PE <br /> RNIIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �j.�o �-7�^1>� 2� ZIP: SS 3�, <br /> NAME OF OWNER: � ��-S� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 7 3� ���- � CITY: ZIP: <br /> CONTRACTOR: (/��` `��r s�s cc-�,�-,-� Cv�S PHONE: <br /> CONTACTPERSON: ��� s.��,..��� MOBILE/PAGER: �;2� 2:�Z ;M���-- <br /> MAILING ADDRESS: (�� �z` � e� -;�{ :.���CITY: f/�1�'`S ZIP: �,�� <br /> STATE LICENSE: #F�� z,�z��s'�� <br /> ARCHITECT/ENGINEER: �,3 �E i�c-.,s�� PHOi'�TE: ���-- �L Z �7� �-� <br /> MAILING ADDRESS: CITY: 1�� H ZIP: <br /> NAl�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration '� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��=-�-►'= <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�SS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � i 3. c��`�`' � '=� <br /> %-�� /- <br /> I hereby apply for a building 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 Building Code; that I understand this is not a pemut and work is not to start without a <br /> pernut; and that the work will ' ac ance with the approved plan. <br /> APPLICANT'S SIGNAT DATE: � I `� / � <br /> NOTE! Parade.Qf H^ omes,,events re ire separate permit approval by Police Department and <br /> City Council 60 days prior l�e--tk�event. Non permitted events will not be allowed. <br />