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' 1�\ <br /> . <br /> T,otal Fee: $ ��� Date Received: <br /> Entered By: r,;, ' Permit#: _ ���2. <br /> - <br /> � / Y ; / ti.� / ` ' /''' `-/�. � .. <br /> ` ! <br /> CITY OF ORONO - B�N PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------- <br /> --.-- ---------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNER�OR CONTRACTOR <br /> ,- .� ,, , �_.� � <br /> JOB SITE ADDRESS: `_` � �,G� hV�J L D�I ��i� ZIP: � � ��'�" <br /> NAME OF OWNER: ''�':;�� �=',;vtii'h `� �i�l�.��p1�1���''��%��'HONE: (home) � �,�� +�;Z�'�� <br /> , <br /> (work) <br /> MAILING ADDRESS: �'�����;, �� ,,:,��,r v;;� �j ��r( CITY: � � ;,, ZIP: {;t� �,t_,I <br /> CONTRACTOR: i�-� PHONE: <br /> CONTACT PERSON: 1'�'r141 ��D�1 t��� MOBILE/PAGER: <br /> MAILING ADDRESS: �����v��C. CITY: ZIP: <br /> STATE LICEN5E: # <br /> ARCHITECT/ENGINEER: J��� PHONE: <br /> MAILI�i iG ADDRESS: CITY: ZIP: <br /> NAIVIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ���I�t�� ���;t����(�YGc�ir'"�,�� j''��}(�iVl��'1U ��'�I� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L� �� � �% <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 th' is not a permit and work is not to start without a <br /> permit; and that the work will be i "a�cor nc with the approved plan. <br /> APPLICANT'S SIGNATURE: - DAT'E: �� ' �v f <br /> NOTE! Parade of Homes events r quire s parate perntit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />