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� ' . <br /> - Total Fee: $ �(,�g. (03 Date Received: 7�a���� <br /> � <br /> Enrered By: Q'�,�f'yL. Pernut#: ��f/a, <br /> G� �jl CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> � , �- All information must be submitted in full before plan revie�r• w-ill be started. <br /> i? (please print all information) <br /> THE APPLICAi�1T IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �`�Y Ga�i,¢ G,wD� t/l� ZIP: ��S-3� y <br /> NA_�tE OF OWNER: Gr�� � L��''" � �o L G��O PHO�IE: (home) %S�- L/�z Si.r3 <br /> . (work) <br /> l�IAILI�i TG:�DDRESS: �/�� Lo�i/�- �,t'N,D.� /�(�CITY: ��a.cJD ZIP: S,S`'36 � <br /> /�'�'1 J N�✓.O/ <br /> � <br /> CO\�'RACTOR: �'Rw�--r �-��-«"�o� PHO��• 9SZ-- 4�21�Za <br /> CO��TACTPERSON: (�o�, ��n�c��us�.�. 1�IOBILE/�: E��z- 2�0 -3os� <br /> iVL4ILL�1G ADDRESS: sos� -t�i�� Po��rs B� CITY: Yviov,N� ZIP: ��6 4- <br /> ST�iTE LICENSE: # 2020 9 2�� �,g� <br /> ARCHITECTlENGINEER: PH0�1E: <br /> I�I�I�i'G ADDRESS: CITY: ZIP: <br /> �T�`IE: REGISTR�,TIO\n <br /> TYPE OF `VORK: New Addition Accessor�� Structure <br /> Move Remodel/Alteration� Land �lteration <br /> PROPOSED WORK(describe in detai�: �EP�kc:� f�fl �L��c �l-ST��G �=zK' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROO�IS: GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATI0�1 (eYclud.ing land): � ;, e v� <br /> I hereby apply for a buildin� perm.it and I acknowledge that the information above i� complete and <br /> accurate; that the work will be in conformance with the ordinances and cedes of the City and with <br /> the Scate 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 wilI be in accordance with the ap roved plan. <br /> APPLICAi�T'S SIGNATURE• .; DATE: � S J� � o f <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> . <br /> City Counei160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />