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� � � �� DateReceived: <br /> Total Fee: � � <br /> Date Approved: <br /> Entered By: ��/�,cJ Permit�: =i 1(v % <br /> � <br /> CITY OF ORONO - BI.TLLDPi tG PERNIIT APPLICATION <br /> ALL I�YFOR1tiIATION�IIJST BE SLBI�LITTED IPt FULL BEFORE PL��T REV�tiV tiVII..L <br /> BE STARTED <br /> ---------------- ----- ----�-.,..�==--------- ----------------------- <br /> THE APPLICr��'T IS: (circle one) OWNER C'\��'-°NTR.ACTOR <br /> � <br /> JOB SI'TE ADDRESS: � � � �L� \�. �,\c�e 1 1Z ZIP: <br /> NA1tiIE OF O`Vti'ER: ��� � �� ��� � PHONE: (home}a��' `SSc�� <br /> (work) <br /> NIAILINGADDRESS: �� � �J � 5��,�� t��1 CITY: C j ,l!1�=� _ZIP: <br /> C�NT <br /> R.ACTOR: �S c � PHONE: ���- �"-1�°� <br /> I�IOBII.E PHONE/PAGER: <br /> MAILINGAD)RESS: 3��S�r�1 �-<�,�t� CITY: 1 � � ZIP:�.5.3 q� \ <br /> STATE LICENSE: #ar�e:2�.�5 L-1 3 <br /> ARCHI'I'ECT/ENGliYEER: PH0�1E: <br /> I�IAII..I�tG ADDRESS: CITY: ZIP: <br /> NAitiIE: REGIST'RA'I'ION # <br /> TYPE OF WORK• New Addition Accessory S�ueture <br /> Move RemodellAlteratio�'� Land Alteration <br /> PROPOSEDWORK(describeindetail): �e ��� r��� \ �c� c�� <br /> STORIES: __. SQ• �ET OF EACH FLOOR: <br /> NO. OF BEDROOI�IS: G�RAGE STALLS: ATT. DET. <br /> c� <br /> ESTIiV1ATED CONSTRUCTION VALUATION(excluding land): $ 3��v <br /> I hereby apply for a buildin� permit and I acknowled�e that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Buildin� Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will� in accordanee with the approved plan. <br /> APPLICANZ''S SIGNATURE= DATE: � � ` �J " � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. Non permitted events wi11 not be allowed. <br />