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. � �'z-2��� �,� X <br /> k 1�' Total Fee: $ �' � � Date Received: � � �� l v� <br /> Entere By: ��D � Permit#: �-{�� � (r �?�; <br /> � _ �r� � <br /> �'C CITY OF ORONO - B G PERNIIT APPLICATION <br /> N <br /> � All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> -------------------------------- -------------------- <br /> --- - - - -- ----------------------------- <br /> THE APPLICANT I� ' ����-'- ----` Q�NE bR CON�'RACTOR <br /> ..�3- !I�� �-3--=-��: �� � <br /> `JOB SITE ADDRESS: ' �� � �� ? ZIP: �j�-�� �_ <br /> �� <br /> �` <br /> NA1�iE OF OWNER: �n�p �r('�� ,�(��. �-}'Qy1i P C PHONE: (home)`7(�-�-J�_��� <br /> : �Work) l�l�► -��� —5��8" <br /> I�IAILING ADDRESS: �(c��[j��0.,�� CITY: � � �/ ZIP: �' 3 . <br /> CO\�'R.ACTOR: ��n ��r('��;�e�, �OYY1�s PHONE:_IpI o� A�Ln�D'���I`�� <br /> COti�T'ACT PERSON: y, � li�iOBILE/PAGER: - -�<' <br /> NL4II..I�i TG ADDRESS: � j- � CITY: � - ZIP: 3/ <br /> ST�TE LICENSE: # . ` ,3 � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII..I1i tG ADDRESS: CITY: ZIP: <br /> NA.1IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> I1�Iove Remodel/Alteration Land Alteration <br /> � <br /> PROPOSED WORK(describe in detai�: ��l��S �(�(�-�� , ��� e_.(c'., <br /> STORIES: SQ. FEET OF EACH�LOOR: �(oC� <br /> NO. OF BEDROOviS: � � GAR.AGE STALLS: ATT. DET. <br /> ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I acknowled�e 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 Buildin� Code; that I understand t ' is not a permit and work is not to start without a <br /> perm.it; and that the work wiR be in acc ce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � '� <br /> NOTE! Parade of Homes events re uir separate permit approval by Police De�ariment and <br /> City Counci160 days prior to the event. Non permitted events wi11 not be allowed. <br /> 5 <br />