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• � ' • - Tocal Fee: $ Date Received: <br /> � � Entered By: Permit#: � <br /> �� <br /> CY'T'Y OF ORONO - BUILDING pERMIT APPLICATION <br /> All informatioa must be submitted in flill before plan review will be started. <br /> (please prinl all information) <br /> THE APPLICANT LS: (circle one) OWNER O ONTRACTOR <br /> Jo8 srrE �►DnREss: .I 6 5o Norl.��+ ��e.vn �,A� zIP: ss 3 s�C <br /> NA.'VIE OF OWNER: ��2�� (V`� PHONE: c�o�,95a� 7�S•�'j�le� <br /> (work) <br /> ?1ZAILL'�TG ADDRESs: �6 SD /1lflr�-�. FAatr�r� '2o�+�P CIT'Y: OL.�rn.o zIP: S $�o <br /> CONTRACTOR: I�itl � �� PHONE: �I�'3-21 ���3r3 <br /> CONT'ACT PERSON: �. (o l o�f•.�- MOBII.E/PAGER: b�d-9 t a��.�k�9 <br /> Mpi1LYrTG►ADDRESS: 7D�D C.AS�rl(,� �Acv�. CITY: I'�1�lS ZIP: S'S�0 2 <br /> STATE LICENSE: # 4C' o�� 69 SS(� ��G (012_ 3�,1 - 5219 <br /> ARCHITECT/ENGINEER: ��NE� <br /> MAILING ADDRESS• CITY• ZIP• <br /> NAME: REGYSTRATIOh'# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAtteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: ��"�'�"� �' �'"�r ���'�iei�� � <br /> STORIES: SQ. FEE'T OF I:ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUAT�ION (eaccluding lan�: $ a3� ��S <br /> I hereby apply for a building permit and I acknowledge that the infor�nacion above is complete and <br /> accurace; chat the work will be in confora�ance with the ordinances and codes of the Ciry and with <br /> the Srate Building Code; that I undentand this is aot a permit and work is not to start withouc a <br /> pemut; and that the work will be in accordauce with the approved plan. <br /> APPLICANT'S SIGNATURE: DA�: � '�� '� l <br /> NOTE! Pnrade o�'Aomes events reqr�ire separate pernrit approval by Police Department and <br /> Cily Cou�eci! 60 days prior to the event. Non perneitted evenis will not be allowed. <br />