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� } <br /> �, Total Fee: $ -���{g/� Date Received: J� �d / <br /> , � . <br /> ��.`� .,�:nt�r�dBy: �/_ Permit #: !�,.-�� `' � -' <br /> � �� � <br /> J ' N1 � 3 � ; <br /> '� � CITY O � ORONO - BUILDING PERMIT APPLICATION <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 CONTR.ACTOR <br /> JOB SITE ADDRESS: "1��� i �v�o cN/( ZIP: �3 g / <br /> NAME OF OWNER: (�Gi�� �Crv��t►�.S o'�- PHO�TE: (home) 7��-�r� <br /> � (work) <br /> MAILING ADDRESS: �� �Gl�e Sfi CITY: k��«�/,�a r ZIP: 5��31 <br /> /�, ��j��- <br /> CONTRACTOR: �� �An,��,r-�-� w PHONE: _ �7l�D S 3 Z- <br /> CONTACT PERSON: �a f=F , �,,�„ MOBILE/PAGER: ZS a �oo� <br /> MAILING ADDRESS: �-f�f�D S lio� /'re pr- CITY: .-1,. r C ZIP: �'! ti. <br /> STATE LICENSE: # /�(p� <br /> ARCHITECT,�ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�1�: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: 2 S�e r�/ tnr a,�lC�- <br /> STORIES: Z SQ.FEET OF EACH FI.00R: <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. Z DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2(00� Q o� vo <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 permit 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: � e <br /> NOTE! Parade o Homes events equire separate p it approval by Police Deparlment ar�d <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 % <br />