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�- . <br /> - Total Fee: $ 1a2�-4� Date Received: <br /> Entered By: ,(�G� Permit#: /n�/��v <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> A.11 information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------------- --------------- --- -------------------- <br /> '"_"``_ . <br /> THE A.PPLICANI' IS: (circle one) OWNER O CONTRACTOR � <br /> ir' ��,''� <br /> JOB SITE ADDRESS: ���� �C���� �� L-� �Ll/-JZIP: _��J � , <br /> , � <br /> NAME OF Oti�NER: L ��c c�� �i. , � C� � PH0�1E: (home) C ���5 � <br /> � <br /> (work) SlP' �/ - -J 9� / <br /> MAILING ADDRESS: ����'�''��� ��/�E"�,�`��CITY: l�t,�� /<e,. ZIP: -��;S�� <br /> '�� � � � � �y _ � <br /> CO�ITRACTOR: f `��l-�[s'/�✓�o%, r��.J�S PHO�IE: �'c��� :�"�c� J <br /> CONT'ACT PERSON: �i✓ :T`�J�'/�C MOBILE/PAGER:��� /� �' %`% � <br /> MAILING ADDRESS: S�C' / �" . �-�� •� J� _ CITY:�L���J%%���T�..�IP: S���l�� <br /> STATE LICENSE: # /7�"� <br /> ARCHITECT/ENGINEER: �r---�� PHONE: -- <br /> MAILING ADDRESS: CITY: ZIP: <br /> l�JAME; REGISTRATION# <br /> TYPE OF `VORh:: New Addition Accessory Structure <br /> N1ove � Remodel/Alteration k Land Alteration <br /> RK describe in detai / � �°`-� ��' �''� '� � �� �� '" � � <br /> PROPOSED�VO ( �• <br /> STORIES: SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOVIS: GARA.GE STALLS: ATT. DET. <br /> EST .NIA1'ED CONSTRUCTION VALUATION (excluding land): $ ��� <br /> c -� <br /> I hereby apply for a buildina 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 Buildin� Code; that I understan 's is ot a permit and work is not to start without a <br /> pemut; and that the work will be in a ordan e with the proved plan. <br /> � �� �`/� �J <br /> A.PPLICANT'S SIGNATLTRE: � - DATE: <br /> NOTE! Parade Q Homes event require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />