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� . �'�) <br /> Fa � �,.- <br /> Total Fee: � ��Q� �' ')`� ��� Date Received: r�� �� ��/ 1 -� <br /> EnteredBy: ,��'�-- ��L �'������ Pernut #: � � A � � <br /> � �l� <br /> CITY OF ORONO - BLnLDING PERIVIIT APPLICATION <br /> Ail information must be submitted in full before plan review will be started. <br /> �please print all informatian) <br /> THE APPLICANT IS: (circle one) OyJNER R CONTR.ACTOR <br /> J4B SITE ADDRESS: `��Q��S ��. ��t�L.. �(.��.L.-V� ZIP: �J�:.���� <br /> ; , / <br /> 1�TAME OF OWNER: %��`/�,,� �°�'��1!C'�� PHONE: (home) �l�f` ,��- �J'��" <br /> , (work} � — —� <br /> MAILING ADDRESS: �J�p� /.�� G''��. �tJ� CITY: � -� --� ZIP:_�� <br /> ��3 <br /> CONTRACTOR:�'���A�CC��j CONSTR.u�iDtil PHONE: � - 4 -i3�13 <br /> CONTACT PERSON:-�q�)� }�� ' MOBILE/PAGER: -' `�' <br /> MAILTi�1G ADDRESS: 2.8��l�kDmo .� U�. ciTY: mApie�t-�R�Iv ZIP: 553 <br /> STATE LICENSE: # �,y`-�� <br /> ��.�- ���� <br /> ARCHITECT/El\TGINEER:�i��.�,, o��OJI_� PHONE: �5'�- �33"�7J`r24� <br /> MA►TLING ADDRESS:20 Z�J�S-�, C°�.l�i X�R.nu Q CITY:�eA+�,� ZIP:s� <br /> NAME: F(�r I� iIU�S O t�1 REGISTRATION# <br /> TYPE OF WORK: New_�Addition Accessory Structure <br /> Move Remodel/Alter.ation Land Alteration <br /> � � � . <br /> PROPOSED WOItK(describe in detai�: <br /> _ ' _,l1.vt� <br /> STORIES: � SQ.FEET OF EACH FLOOR: g(�-1,����p9CP -'�r`-�p <br /> NO. OF BEDROOMS: �. GAR.AGE STALLS: ATT. � DET. � <br /> ESTIlVIATED CONSTRUCTION VALUATION(excduding land): $ ` C� <br /> I hereby apply for a building permit and I acknowledge that the infarmation 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 thzs is not a permit and vvork is not to start without a <br /> permit; and thai the work will be in accordance with the approved plan. <br /> APPLICANT'S SIG:�TATURE: � f��� �,���I�"''" DATE: �U -����- <br /> NOTE! Par e o�Harites events require separate permit approval by Polic� Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events ►vill not be allowed. <br /> 9 <br />