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' �'� Date Received: � I g <br /> ` �_,�__.__-- <br /> Total Fee: $ � (7�1 � � <br /> Entered By: . Permit#: r� � �,� ! <br /> . CITY OF ORONO - BU�.DING PERMIT APPLICATION ` ' � ', <br /> � � . - � ; ! <br /> .A]1 informa�ion must be submitted in full before plan review will be started. . ; � <br /> � . - � (please prini all information) : . . � <br /> � � ircle one � . O�NER OR CONTRACTOR � .. � . � . . . � <br /> � APPLICA3rTT IS: � � (c ) . . I <br /> aoB si� �nnxEss: 580= � �Jo�� �1rr� l�i. zrn: � i <br /> - �S�9� G�or.�j - PHONE: (home) <br /> NA11�IE OF OYY��R: �� . � <br /> � (work) � � <br /> NI.AII..IYGAI�DF•ESS: �4c� kndx /�i,r S CTI'Y:��lp/S Z�:�� � <br /> CONT'RACTOR: G✓e.S S � PHONE: Sy��3��_ . <br /> CONT'ACT PERSON: ILE/PAGER: <br /> MAII,�G ADDRESS: <br /> ����'3 f}�C /U CITy; � ZIP: _.����� <br /> STATE LICENSE: # ��.5,S�S� � • . <br /> � ARCHIT'ECTlEl\'GTi�'EER:� . . . � � . PHO�'E:.� � <br /> iVtAII►T1�'G ADD�tESS: CTTY: ZIP: <br /> � NAME: REGISTRATION# <br /> TYPE OF tiYORK: New Addition Accessory Structure <br /> Move � Remodel/Alteration_� Land Alteration <br /> PROPOSED ti'�ORK(describe�n detai�: ���� � <br /> STQRIES: SQ.FEET OF EACl3 FLOOR: . <br /> 1�0. OF BEDROOI�IS: � GARAGE STALISs AT'"I'. _ DET. • . � <br /> T .n'i IA,TED CONSTRUCTIO�I VALUATIO�I(excluding lancn: $ �5 3lO 6''—- • <br /> ES <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in ca�formance with-the ar.dinances and codes of the Ciry and with <br /> the State Buildi.n� Code; that I understand this is not a permit and work is not to starc without a <br /> pemut; and thGc the work will be in accordance ' the approved plan. <br /> APPLICANT'S SIGNATURE: ,� • DATE: ����� <br /> NOTE! �'arade of Homes events require separate permit approvat by Police Department and <br /> ' Cily Counci160 days prior to the event. Non permitted events will not be aIlowed. <br />