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s r • � � �V <br /> Total Fee: $ Date Received: <br /> Entered By: Perm.it#: � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � � <br /> . ; <br /> All information must be submitted in full before plan review will be started. . <br /> � . . . (please print all information) . . <br /> TI� APPLICAI�'T IS: � � (circle one) :� OtiV1�tER OR CONTI�ACTOR � � � � � . <br /> ��,� ZIP: � <br /> JOB SIT'E ADDRESS: �� �` C-e .G—IN�Z / �� o ( <br /> � l <br /> NA1�2E OF Oti��R: �(�lit/ ���t.JS�� PHONE: (home) 5�-�7�1��Z <br /> (work) <br /> NIA.II..I�YG ADDF•ESS: g� �Ge L�Kf v�-r c��.e CITY: !� r � •✓� Z�: 3 <br /> . $ELA ROOFING&REMODELING,INC. � _���� ���L� <br /> CONT'RA.CT4R. 41U0 EXCELSIOR BLVD. P$ONE:q � <br /> CON'�'ACTPERSON: • OBILEIPAGER:(�/�-- 9/�=(23 S�' <br /> MAII�I�'G ADDRESS: �'�,7— ,� C�TY: ZTP: <br /> STATE LICENSE: # � <br /> ARCHITECTlEi�'GINEER: PHOti�: � <br /> i�xA.II�ING ADDRFSS: _ CITY: ZIP: <br /> � �TAME: REGISTRATIO�# <br /> TYPE OF '�VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration_ <br /> � �jy, S�Ir.n f�Gl`n ,���/ <br /> PROPOSED tiYORK(describe in detain: �-� S � �d'`'�' <br /> ' 0/►/l/ �� $'ld�C� <br /> 2� �v�e� T �w- � � l2esti� � /vtG� � �e �c-r� Ts� ��� �,1��P�T <br /> STORIES: SQa. + +ET OF EAC OOR: Go„�,�, o„� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � • .� s.n� �,,,,,�,� <br /> . . • � O�c�t <br /> EST .Jl�i IATED CONSTRUCTION VALUATIO�T(excluding lan�. $ � � <br /> I hereby apply for a building permit a.nd I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances a.nd codes of the Ciry and with <br /> the State Buildin� Code; that I understand thi 's not a permit and work is not to start without a <br /> permit; and thac the work will be in acc da wi the pr ved plan. <br /> APPLICA.i�"T'S SIGNAT'URE: - DATE: ��� <br /> NOTE! �'arade Homes events require separate permit approvai by Police Department and <br /> � City Council 60 days prior to tke event. Non permitted events will not be allowed. <br />