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, T�% <br /> Tot�r Fee: $ j �� " Date Received: <br /> •Entered By: � . - Permit#: <br /> CITY OF ORONO - BUII,DING PERMIT A.PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ' (please print all information) <br /> THE A.PPLICANT IS: (circle one) OWNER CONTRACTO <br /> JOB SITE ADDRESS: �f O Lf� �0��, S �%�(S ��' ZIP: <br /> I�TAME OF OWNER: 1J�-L� �C����1 PHONE: (home) �S� - L�7 a— '��5 3 <br /> �- (work) <br /> 1�IAII�Pi 1G ADDRESS: �I�� � �(/o✓�{� Sha��(�r. CITY: 0 �o u�� ZIP: <br /> CONTRA.CTOR: "L��t1i�/3�., C� �/�''�- PHONE: 7(���'Lla� � �'to� <br /> CO�ITACT PERSON: w-�-��1 ��� BIL AGER: W/� -�? -��S 3 <br /> 1VIAILING ADDRESS: � 0�02� �-G (zc t� CITY: jet�C��S ZIP: SS 3 7� <br /> STATE LICENSE: # � <br /> ARCHITECT/ENGINEER: PHO\TE: <br /> MA.IL�1G A.DDRESS: CIT'�': ZIP: <br /> N��: REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: /�E (�c�o(� ( �� £'F� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DROOvIS: GARAGE STALLS: ATT�. � DET. - - � -- <br /> �,v <br /> EST 1MA'I`ED CO�'STRUCTION VALUATIO\ (exclud.ing land): S `�,� a 0 , — <br /> I hereby apply for a buildin;permit and I acknowled�e that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pernnit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE�` � � DATE: fv -02 5 '� 1 <br /> 1VOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />