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Total Fee: $ ' ��,�. ' Date Received: �.-`{-0� <br /> � Entered By: rjYl�'L- Permit#: � v5 8 <br /> CTe�at:�,t� <br /> , �,� CITY OF ORONO - B G PERNIIT APPLICATIOleT <br /> ,L`�, <br /> �'' ,k I u<�_j� i�(��_;c�� <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 /> c . C <br /> JOB SITE ADDRESS: � � " (,�� �� -e- �� ZIP: S� 3 � � <br /> NAME OF OWNER: I Q:n�%� s L . �.;1 �°C <br /> � PHONE: (home) cl S � . y�`l' - �'��/I� <br /> (work) cj S�- L%7 5�� k c;< <� ``'� <br /> 9�i-�3 y'-�-rE�f <br /> MAII..ING ADDRESS: S<-�- �"'`� CITY: G✓��•` �;C.E� ZIP: �� 3 <br /> CONTRACTOR: PHOiVE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration�_ <br /> ��� l7"�✓� � -.c' � C'. ' �5� vv � � � , �� : <br /> PROPOSED WORK(describe in detai�: � � G '� � � �l ' ��� <br /> ,,�,� �,� �� C-� �-— �t � C�� -3�.�� �� we��C—������; <br /> � ����� � - �� ���� c�-�.� ���� ���� � s�� �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 pernut 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 SIGNATURE: ';' �- ~:-��' ' DATE: �-� ���( ��-� <br /> �% � <br /> NOTE! Parade of Homes events require seprtrate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> , <br /> ��,�f��t�v-��� 1�-�i-_ l� �,�,�. <br />