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r � � ' �, <br /> Total Fee: $ � �� ' Date Received: -� �c�-U f <br /> � Entered By: z' Perm.it#: /�L 3Cp��- <br /> ; <br /> � � : <br /> _ � <br /> CITY OF ORONO - BLTII�DING PER�vIIT APPLICATION <br /> All information must be submitted in full before plan review «zll be started. <br /> � (please print all informarion) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ���U ���f� ��M � Z�� <br /> NAME OF OWNER: /J/`�� �G✓�'rr s'c�n PHOiVE: (home) �S�- S/�/-o?v i 8 <br /> (work) <br /> �IAILING ADDRESS: . CTTY: ZIP: <br /> CONTRACTOR: "�=��� /�� I�1%l�� Co�lsr, �v PHO�TE: 7 ��- �'9�— S��' S <br /> CO�1'TACT PERSON: ;;�� /v!,/!e,- MOBILE/PAGER: �/-2- S�9�- 3do6 <br /> MAILING ADDRESS: %�/7/ I,a�,. /��� CITY: l��1��//< ZIP: S'SD�i�� <br /> STATE LICENSE: # �D/ 3 0 3 ��/ <br /> ARCHIT'ECT/ENGINEER: PHO\TE: <br /> MAILIVG ADDRESS: CITY: ZIP: <br /> N��: REGISTRATION# ' <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: /��..�/� /,���E �. ,Givu�c <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excludi.ng land): 5 /�, 0 c U <br /> I hereby apply for a building pernut and I acknowledge 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 Building 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 /> APPLICANT'S SIGNATURE: �/.,�ti-- �-��'' DATE: �` °��� `°� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department atad <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />