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' Total Fee: $ 7 � -' �- � Date Received: :��� 3� � � <br /> Entered By: r�' � Permit#: � �3.5�' % <br /> CITY OF ORONO - BUII..DIVG PERNIIT APPLICATION <br /> All information must be submitted in full before plaa review will be started. <br /> (please print all information) <br /> ---------- — ----- ---- _ - <br /> _.-- --� <br /> THE APPLICANT IS: (circle one) OWNER C�R CONTRAC_ T�— <br /> �` ��' -� �- ,. <br /> JOB SITE ADDRESS: ��%-� / S ��/�`��C�i"��.:� �/t��`LIP: ����_7�>�� <br /> NAME OF OWNER: j��:�-��� ���i�:,�7�>�f Z- PH0�1E: (home) �TS�- �,���'' <br /> (work) <br /> 11-IAII. tI�G ADDRESS: .�� is �o.���r e�-� C���<::4-.CITY: C%�'4�,z��' ZIP: SS`_r <br /> C0�1'I'R.ACTOR: ��, ��,�i��� ��.,�,�-�. P�iONE: % 7�'�- > s ;� � <br /> CONT'ACT PERSON:` -�� � �ls >�- �-��� MOBILE/PAGER: s�.�j - s�Y��i _ . <br /> 1�IAILING ADDRESS: i7S��" c��, i�r' -� sl CITY:���;��� /l ZIP: .J _ y - - <br /> STATE LICENSE: # _�__� ;� <br /> ARCHITECT/ENGINEER: PA��� <br /> I�IAII.I��G ADDRESS: CITY: ZIP: <br /> N�y�: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: %t � ,�� �:'��� ��- �/��- �-��������,� <br /> � �. <br /> < <' �„ /�<_;��1,���t- .:1, ��. <br /> STORIES: �' SQ.FEET OF EAC�I FLOOR: <br /> NO. OF BEDROOi�IS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IATED CONSTRUCTION VALUATION (exCluding land): $ ��;,, ��%!' <br /> I hereby apply for a buildin� permit and I acknowled�e that the information above is complete and <br /> accurate; �hat 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 perm.it and work is not to start without a <br /> permit; and that the work will be in accordance with the,approved plan. <br /> � - <br /> / ' � ''' � ., <br /> < ��, , S._ �' � <br /> APPLICANT'S SIGNATURE: , i,i� r. ' --���% DATE: - -=� �`���c-' <br /> NOTE! Parade of Homes events require separate permit approval by Poliee Depczrtment and <br /> City Counei160 days prior to the event. Non permixted events will not be allowed. <br />