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, + ���-� � � Date Received: / - �-C� � <br /> Total Fee: $ <br /> En[ered By: :` - ��,,,���/�� Permit#: - �� <br /> CITY OF ORONO - BLTII.DPtG PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p1 e print all information) <br /> � <br /> 'I`HE APPLICANT IS: � (ctrcle one) OWNER O CONTRACTOR <br /> � <br /> JOB SITE ADDRESS:�� 7.S e n V�C��� ��-t ZIP: .5 <br /> �('��10 <br /> I,, �W1� �) <br /> NAI�tE OF OWNER: � �" 1,��1 ��'l.aS PHO� <br /> ( ork)7 �� - 5�i - U�.�I <br /> 1�IA'�.�1G ADDRESS: � Oc� e�l�S�1�^�- CITY: wt� , Z�:s�� <br /> � <br /> CO�I'RACTOR. ��'"�l°�� ��'l��'�.S ' � PHONE: �7 (��S� I � U�I <br /> CONTACT PERSON: � ct/l� ���c C F1 MOBILE/PAGER: CP/L " �j c�U � ��/-3 . <br /> i�it�iII�P�1G ADDRESS• �� o� � C�►LS Li;�e �`l CITY: ti ZIP: �j�--�So . <br /> STATE LICENSE: # }�C� - v?C�3SS�S� <br /> � cc PHO�tE:� �c�•��(� - '�l�l(�,` <br /> ARC��TECT/ENGliYEER: �n��`�1 � � �' + <br /> IiAII�Itii'G A.DDRESS• � � C, ,� . CITY:�r�:,c;�cc�., CTIZ-ZIP: S" � Zc <br /> NA:vIE: ��Q ✓�r�4'�-- � � t-S`{�-c'� REGISTRATION# <br /> TYPE O�' `VORK: New � Addition Accessory Structure , <br /> Move Remodel/Alteration Land Alteration_ �_ <br /> PROPOSED WORK(describe in detain: �� � ����— ��--��S�r� `-�`U n <br /> STORIES: � SQ. FEET OF EACH FLOOR:�-SPw�� ��1�O ��—Z z�O-S' <br /> NO. OF BEDROOI�IS: � GARAGE STALLS: ATT. �_ DET. <br /> ESTII,IATED CONSTRUCTION VALUATION (excludina lan�: $�J`��r �� <br /> I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and <br /> accurate; �hat the work will be in conforma.nce with the ordinances and codes of the City and with <br />� the State Building Code; that I understand th.is is not a permit and work is not to start without a <br /> persi'� ��d that the work will be in accordance with the approved plan. � <br /> c� ��S <br /> APPL;.CANT'S SIGNATURE: DATE: � � � �S � <br /> 1�'OTE! P r�.de 4f Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permiited events will not be allowed. <br />