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' ~ Date Received: �'��O� <br /> Total Fee: $ <br /> Entered By: Permit#: �b $ <br /> CITY OF ORONO - BIJII..DIVG PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforncation) <br /> TSE APPLICANT IS: (circle one) WNER R CONTR.ACTOR � <br /> Jos srr� annxEss: 3 L`��', s �e z�: s S 3 q f <br /> NAME OF OWNER: ���a�v�-\J-��1 Sc�^ PH0�1E: (home)1 S 5� �-4 S� � <br /> (work) �/5 2 t� � cD �r CQ <br /> ��r�.�vG avDx�ss: 3 4 3 4 �+� � �.�crrY: �� 2�,-� z�: s 5 3� � <br /> CO�t'1'RACTOR: PHONE: <br /> COi�1TACT PERSON: MOBILE/PAGER: . <br /> Mt�iILING ADDRESS: CITY: ZIP: � .. <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: P���� <br /> 1�IAII.ING 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 detain: ���-Q_,c� v�.T- � <br /> STORIES: SQ.F'EET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� � <br /> ESTII-i IATED CONS'I'RUCTION VALUAI'ION (excludina lanc�: $ L} �C��� <br /> I hereby aoply for a buildin�permit and I acknowled�e that the inforimation above is complete and <br /> accurate; chat the work will be in conformance with the ordinances and codes of the City and with <br /> � the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANr'S SIGNATURE: <br /> � DA1'E: � I 7 I 0 � <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> � City Council 60 days prior to the eveni. Non permitted events will not be allowed. <br />