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.�1 � �� <br /> ' Tc=al Fee: $ '� `' ` ^� ^ Date Received: `�'�Z 7 �G / <br /> Entered By: ,C � ' Permit#: f� G -� (�� 1 � <br /> ::�',"��- _ -��:, _ , <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �-3d� /--�/� vv���,v ���/�G 1t_ ZIP: -�� ��� <br /> NAI�LE OF OWNER: / (/� f� �. �F/�✓ PHONE: (home) ��� <br /> , (work) $/ �—39�- �O �3 <br /> 1�IAILING ADDRESS� �� O LONG(/� E'll� CITY: L�� j•c ZII':�-3=��o <br /> �� C F <br /> CO\"TRACTOR: �(�r�l��'�'E,Bu�`/�,`�� C � PHONE:��`>-z '7'�-�-�-��Z <br /> COr�TACT PERSON: /9-!lF�fii`!�F NIOBILE/P'�: Z-�.I D -�5�'.�G <br /> M.AII..ING ADDRESS: . 0 l� s CITY: DGl �ZIP: =�5.36� <br /> ST�TE LICENSE: # 0 <br /> ARCHITECT/ENGTivEER: PH0�1E: <br /> MAII.I�i tG ADDRESS: CITY: ZIP: <br /> NA.�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�(_ Land Alteration <br /> PROPOSED WORK(describe in detai�: ma%�L � �fC,�iE N —�FP/�G � ���2— <br /> J7.t��C G111 1�11 � "' l`f r�/�'YI'�� le� L-/�1'Yl 'S / ! � /1/� _ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: GARAGE STALLS: ATT. DET. <br /> N l� <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ a ���Q G'� <br /> I hereby apply for a buildin� 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 ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE y �!=G DATE: � . <br /> -�-�----- <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Cily Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />