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Total Fee: $ Date Received: f �o�/—b <br /> Ent�r,ed By: Permit#: O � <br /> 4 <br /> CITY OF ORONO - BUII..DING PERIVIIT APPLICATION <br /> All infornnation must be submitted in full before plan review will be started. <br /> ' (please print all information) � <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR � <br /> JOB SITE ADDRESS: 33� ��''��'�� �� ZIP: �3 `t ( <br /> NA.ME OF OWNER: ��c�.��.L ��g� PHOiVE: (home) �?!-O(p� 3 <br /> (work)��0�� 31o3- �a� Y <br /> 1�IAII.I�IGADDRESS: 33oa ��-✓� �-�' . CITY: �.•�z��a ZIP: s.s-34. <br /> CONTRA.CTOR: ' SGc,F PHOi�TE: t�?�-��� 3 <br /> CONI'ACT PERSON: wl�1�� 5��� ��IOBILE/PAGER �!�� 3G 3- 70 6 y� <br /> MAII.ING ADDRESS: J3a� .�v,a�..�+�E c� . CITY: w•�.,�w ZIP: .ss-3q� <br /> STATE LICENSE: # s� sas-603 ��3r-sya <br /> ARCHIT'ECT/ENGPIi EER: PHO\TE: <br /> 1VIAILPi 1G ADDRESS: CITY: ZIP: <br /> NAME: REGISTR.ATION# ' <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_1� Land Alteration <br /> PROPOSED WORK(describe in detai�: �T�«a �,o�sE � �A�'�E R�P�^-� Ro�� Fp«a+s�Fr <br /> m New w�.,�ows o., M « lc��� <br /> STORIES: � SQ.FEET OF EACH FLOOR: /?oo <br /> NO. OF BEDROOMS:� � GARAGE STALLS: ATT: � DET.�= . __..;.-::_-- _..-. .:, : <br /> ESTMATED CO�'STRUCTION VALUATIOti (excluding land): S �s�Oa <br /> I hereby apply for a buildin�pernut 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 Buildina Code; that I unders nd this is not a permit and work is not to start without a <br /> permit; and that the work will be in ordance with the approved plan. <br /> APPLICAN'r'S SIGNATURE: W��r`--�" DATE: 6-2Z-o � <br /> NOTE! Parade of Flomes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />