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� � "vTotal Fee: $ �Z . IS Date Received: � -a`fo� `� 3 <br /> Entered By: � Permit#: O I�ZZ(� <br /> Q.� �i �l ZS/o3 <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 APPLICANT IS: (circle one) WNER' R CONTRACTOR <br /> JOB SITE ADDRESS: ���� K e l l y �4- �Q ZIP:_ �7`J�.� I _ <br /> NAl�� OF OWNER: C � � � �L PHONE: ome) ��7 y <br /> .. '/ (work) ��2_ s 7� <br /> MAILING ADDRESS: Z�v !�L'_l�,�(�`2 CITY: (�R.�/✓� ZIP: :5�.� <br /> CO\'TRACTOR: ��?�� PHONE:_ <br /> COr�T'ACT PERSON: MOEILE/PAGER: l�-���- � <br /> 1VLAII.ING ADDRESS: CITY: ZIP: <br /> ST�TE LICENSE: # <br /> / / I- �� <br /> ARCHITECT/ENGIN�ER: �/,�' —�r2 r�b �G� P�O�TE: <br /> iVIAII.I�i TG ADDRESS: CITY: ZIP: <br /> N���; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure ��� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �� � � l � ` ,�7Z6�A-dQ ��r. �J�� �T v h <br /> B loc - <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: �� D <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> ESTL�IATED CONSTRUCTION VALUATION (excluding land): $� ��bU <br /> I hereby apply for a buildin�pemut 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 /> perm.it; and that the work wiR be in a corda with the plan. <br /> APPLICANT'S SIGNATURE: DATE: o�oZ � <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />