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Total Fee: $ ��� � � Date Received: ��l�-� � <br /> Entered By: �� Permit#: �}'03{o y0 <br /> �.�,.�,�, s-�i - o� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE A.DDRESS: i371f� L�v�••��7��v �� Z�: � <br /> s <br /> NAME OF OWNER: C,e�' /l�, C.tJ ��HO�TE: (home) <br /> (work) �3- �'S'3- �'�2� <br /> 1�IAILI�i iG ADDRESS: � � �?.�3 3 . CITY: L .z-�c ZIP:�� <br /> CONTRACTOR: " �z.�'s� � PHO�'E: ,�3- S53-02 7v2�C <br /> C0�1'TACTPERSON: �-,e C �, A ��IOBII..E/PAGER: ��a -3��- �-aS�z <br /> MA,ILING ADDRESS: Y 7 3 3 CITY: � ZIP:� <br /> STATE LICENSE: #�,r ,8�a�� �/5 S3 <br /> ARCHITECT/ENGP1i EER: �t��1�'' PHO\'�E: _ <br /> MAILI�i 1G ADDRESS: CITY: ZIP: <br /> N��: REGISTRATION# � <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describ�detain: �s�d`�'n.,�� ����g � <br /> /l�P o.� <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: /�7�1 ..� ,� �dYA-C- <br /> NO. OF BEDROOMS:� �� GARAGE STALLS: ATT: X - DE .. .:=�-t��___:,.,.-.�::__ _, _ _ _ <br /> ESTIvi IATED CO�TSTRUCTION VALUATIO\ (excluding land): S� ,O� - - <br /> I hereby apply for a building pernut and I acknowled�e that the information above is complete and <br /> accurate; that the work will be in conformance wich 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 rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: D`�TE: �r //`p/ <br /> NOTE! �aradeQ Flomes evenfs require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be altowed. <br />