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� ; <br /> , Total Fee: $ � ?J,�� 7g Date Receive : /,2 /r'f' <br /> �Entered By: �'�j� Permit#: / 3�� <br /> CITY OF ORONO - BUII..DING PERMIT APPL CATION <br /> � <br /> All information must be submitted in full before plan review ' be started. <br /> I (please print all information) � <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACT R <br /> JOB SITE ADDRESS: �"3 9 ��,��..c��o z�e: <br /> NAME OF OWNER: fJ�e,</�,/��/ Dd o�G r� PHONE: (home) �/a y,a?a�j� <br /> (work) - or- G,��B <br /> MAILING ADDRFSS: j`JB 9 �y�. _ l�1t�GLCITY: ZIP: S�3 6� <br /> ONTRACTOR: ,�i PHONE:_ <br /> ONTACT PERSON: a/n.� MOBILE/PAGER: <br /> ING ADDRESS: � a.w-•.�. crv� CITY: ZIP: <br /> TATE LICENSE: # <br /> CHITECT/ENGINEER: PHONE: � <br /> AILING ADDRESS: CITY: ZIP: <br /> AME: REGISTRATION <br /> E OF WORK: New Addition ✓ Accessory tructure <br /> Move Remodel/Alteration ;� Land teration <br /> ROPOSED WORK�describe in detai�: �1�- d doYi ' r ��' <br /> �,� ` � G �GXCo"S � etc5� <br /> 3 �v� arue� av�— �,h �lvv� /9g6 1��n'' � <br /> S ORIES: � SQ.FEET OF EACH FLOOR: � � �90 <br /> O. OF BEDROOMS: � GARAGE STALLS: AT . ET. �fQ��y�s- <br /> TIlVIATED CONSTRUCTION VALUATION (excluding land): $ �'� <br /> I�ereby apply for a building permit and I acknowledge that the information ove is complete and <br /> a curate; that the work will be in conformance with the ordinances and code of the City and with <br /> State Building Code; that I understand this is not a permit and work is ot to start without a <br /> p rmit; and that the work will be ' ccordance w' �ie approved plan. � <br /> �'�n��- � <br /> PLICANT'S SIGNATURE: DATE: � <br /> N TE! Parade of Homes events require eparate permit approval by Po 'ce Department and <br /> Cz Council 60 days prior to the event. Non permitted events will not be llowed. <br /> 5 i <br /> � �i <br />