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� d� �. ,F. �. <br /> Total Fe�: $ t�' Date Receive�l: <br /> /t ,' � ��-.�..._. <br /> Eritered By: � � ��,�`� Permit#: �'�`--.:;- -._..,__v - -� <br /> s, <br /> CITY OF ORONO - BUII�DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------- ---------------------- , --------_�--------------------- <br /> THE A.PPLICANT IS: (circle one) O R O CONTRACTO - <br /> JOB SIT'E ADDRESS: � � � l , � r ZIP: <br /> , me �I� �� C' � <br /> T 'ER: .sL� � ��' PHONE: (ho ) <br /> I�AAI�iE OF �`Vi� <br /> , (work) <br /> 1�IAILL\'G ADDRESS: �c'-�,�,� CITY: ZIP: <br /> , <br /> CONTRACTOR: t t .� � ��'lv��' PHONE: � �?0 -21 �` � <br /> CONTACT PERSON: � MOBILE/PAGER: � � <br /> MA.II.,ING ADDRESS: - � � CITY: �� �t l'i. (U��, ZIP: �, 3 � ? <br /> STATE LICENSE: #� G ? 6 <br /> ARCHITECT/ENGItii'EER: PHO�iE: <br /> �IATI.Pi 1G ADDRESS: CITY: ZIP: <br /> ��: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> �-- � 1 <br /> _ �, <br /> P$OPOS�D WORK(describe in tain: � <br /> U "� � , 2--_ <br /> .L,C'.� �' l,v�; � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIi�IATED CONSTRUCTION VALUATION (excluding land): $ ��, � <br /> ��� C�� b <br /> I hereby apply for a buildina 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> � � DAT'E: c � �b ��� ( <br /> , , . ,�-: y ���-- <br /> APPLICA�tiT S SIGNATURE. (� i <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Counci160 days prior to the event. Non permitted events will not be allowed. <br />