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! <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII..DING PERMIT A.PPLICATION <br /> All information must be submitted in full before plan review �vill be started. <br /> ' (please print a11 information) <br /> TIiE A.PPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � �� <br /> JOB SITE ADDRESS: .:-` G,�o� ��/G%( �c:� (�� CZ,�/�-._ ZIP: �� � �I <br /> NAME OF OWNER �, d�(�C� �. I. �a-V�� PH0�1E: (home) ���-`� ��-���c$`7 <br /> (work) <br /> l�IAII.I�i TG A.DDRESS: ��GQ G�/c.t �� . CITY: C�I�OII C� ZIP: SS I <br /> 7s�-g����s� <br /> CONTRACTOR: " 70�/1 /�zlu� �"� �c���� PHO�IE: <br /> CON'TACT PERSON: Jo kn f-��.Iz:��,_ ��IOBILE/PAGER: _ <br /> MATLING ADDRESS: 7�0�'1 � �7 S'�-� e�� CITY: `�l c�,� '�1C ZIP: S.S`=��2� <br /> STATE LICENSE: # �� /�.Z�sS�C? <br /> ARCHITECT/ENGINEER: PHO\TE: <br /> MAILLVG ADDRESS: CITY: Z�: <br /> N��: REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �h,'y�'�;✓1� �c-�jc�5 L� — <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. O� B�DROOMS: GA.RAGE STA.LLS: ATT�. � DET. � - � - ., <br /> O�> <br /> ESTII�i IATED CO�'STRUCTION VALUATIO\ (exclud.ing land): S ��>� � <br /> I hereby apply for a buildin� permit and I acknowled�e 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 understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> ANT'S SIGNATURE: ���-'�_- C' � � DATE: ���S-� I <br /> APrLIC � <br /> 1�'OTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. 1Von permitted events will not be allowed. <br />