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, " � <�3 �,, � �� / c, ,, <br /> Total F�e: $ 7� ��/� Date Received; <br /> Entered By: Permit#: _ �'�S z i <br /> -�� �i ,,,� CITY OF ORONO - BUII.,DING PERNIIT APPLICATIQN <br /> . ��f��� -� <br /> � <br /> All information must be submitted in full before plan review will be s#arted. <br /> (please print all information} <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> .roB s1� �nnxEss: ��'�'.� G�`�-��v��7��- ��r�, z�: �..�.��9/ <br /> NAME UF UWNER: ��lfe rsc r��� PHONE: (home)C�-��,-�9�.�`� <br /> (work) <br /> MAILING A►DDRESS: ..�,�r,�C: CITY: Z1P: <br /> � �f�fcn'LkJ :<�'q � <br /> CONTRACTO�: S a,� ��r � Y+�+ �." PHONE: �/�-5��� -_S"....?� <br /> CONTACT PE ON: M BILE/PAGER: <br /> MAII.ING ADDRESS:�('j�, c+/,�;c. r,�'�. CITY: �- ZIP: �'.� ' Q� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP; <br /> NA.l��: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAlteration � Land Alteration <br /> PROPO5 D WORK( esc 'be in detail�; �.-c��, ,`►v� ��� jv� � �v?� �� ��y <br /> , � <br /> �. a c�c� cf�cc r.v� - �.�^.s'� �^ � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTTi�IATED CONSTRUCTION VALUATION {excIuding land): $-��,��O.�`� _ <br /> I hereby apply for a building 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 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 w�th the a r ved plan. <br /> ��- <br /> APPLICANT'S 5IGNATURE: r'"'p "� DATE: .,� �L�`��' I <br /> NOTE! Parade af Hames events require separate perntit appraval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />