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� � � <br /> j DateReceived: �/-(� � �-S <br /> Total Fee: $ ;�,�, �.�- <br /> Date Approved: <br /> Entered By: ,Cl, Permit#: �f/�rj <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> ALL INFORiVIATION MIJST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> ------------ -------------(-----------�-------- ----------------------------------------------------- <br /> THE APPLICAlvT IS: circle one OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �S <br /> �c / z�: ��s'�� <br /> NAME OF OWNER: aC �CL ��� � �� � PHONE: (home) �/�3._��� <br /> J (work) <br /> MAILINGADDRESS: �� OGr. �75' CITY: � � ZIP: �/� ���� <br /> CONTRACTOR: /�q���'� �C��V�//����/�U� PHONE: ���' �;�/� <br /> MOBILE PHONE/PAGER: <br /> MAILINGADDRESS: �C`�3?t� �CITY: l:nr�,;/�-�/v ZIP: S'�7/S� <br /> STATE LICENSE: # ��</UW <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION # <br /> TYPE OF WORK: New Addition Acr.essory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): ,�/ �` ��/� � IL�G�'!��'�/r'r'�f'I <br /> STORIES: � SQ. FEET OF EACH FLOOR: �C/�p <br /> NO. OF BEDROONiS: GARAGE STALLS: ATT. DET. <br /> �n� <br /> ESTLYIATED CONSTRUCTIONVALUATION(excludingland): $ 7 �ZO <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �C� �=.._J���(�.�v_✓h.�2--- DATE: �. G" �� � / <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />