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<br /> �Total Fee: $ ,-;�`�� ,�' -'� ' Date Received: G��/�/'��'�
<br /> - Entered By: %-�i? Permit#: �� �� �-,/,d
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<br /> �`�'����CITY OF ORONO - �UILDING PERNIIT APPLICATION
<br /> IN' � ,
<br /> All information must be submitted in full before plan review will be started.
<br /> (please print all information)
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<br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
<br /> JOB SITE ADDRESS: �S � �°T � � ;� �. :_ .� v 2 _ ZIP: � J �`l �
<br /> NAME OF OWNER: / (��� �� ��� �� PHONE: (home �I�' Y�l � `C� ��
<br /> (work)
<br /> MAILING ADDRESS: > �� �! L �, ,�" � ��c CITY: 1,.�F�., ��z, ��. ZIP: 5 S ����� I
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<br /> CONTRACTOR: '� ..�,�' �c� .�,. �1C PHONE:(�'�5-Z � `{ �l - ��/�
<br /> CONTACT PERSON: /�/,. � k S�C,,,,, �? MOBILE/PAGER: �
<br /> MAILING ADDRESS: ?u �'��• � .�,,� CITY:,,E�� t,��.� ZIP: �,-j5 �
<br /> STATE LICENSE: #
<br /> ARCHI'I'ECT/ENGINEER �.;,���, �� �`� �, ,,,,',��' PHONE�`�� S-�� �F 7/-- �C��
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<br /> MAILING ADDRESS: >�i ���� � - /�„� CITY: Uu�, 7:, � � ZIP: 5 5�� !
<br /> NAME: /i'��./� ��:G� ---� _�( REGISTRATION#
<br /> TYPE OF WORK: New Addition Accessory Structure X
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK(describe in detai�: 1'� �C" � ����� S.�r . ` l,t�.s:-
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<br /> 4 `L
<br /> k, _ '_�e. �. � � � ��v �.�
<br /> STORIES: SQ. FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
<br /> ��; , ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� C' S
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<br /> � �,' I hereby apply for a building permit and I acknowledge that the information above is complete and
<br /> �.
<br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with
<br /> ` ��;v the State Building Code; that I understand this is not a permit and work is not to start without a
<br /> � o � 5 permit; and that the work will be in accordance �ith tY�e approved plan.
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<br /> S � �� 1 � �
<br /> y \ APPLICANT'S SIGNATURE�,�i���.�;I/�' DATE: /C' � G /
<br /> NOTE! Parade of Homes events require separate permit approval by Police Department and
<br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed.
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