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� <br /> Total Fee: $ ��'� �- DaCe Received: '`�-� �--� <br /> Entered By: � Permit#: _ <br /> �C'i.� l� � ;� � �, �- � � ���� � ` i 'I� � ' � .. <br /> ( .� �i � <br /> ,,�� CITY OF ORONO - BUI�.,�FG PERMIT APPLICATIOIeT `� <br /> � ; / <br /> `=`� yJ All information must be submitted in full before plan review will be started. <br /> J <br /> u� (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> �� -,, <br /> / � <br /> �'�� JOB SITE ADDRESS: ���C . ( ' 7 �- � '>ZIP: f! -� <br /> � ,�.J�/�, � / <br /> _-- - <br /> NAME OF OWNER: �... � �� � _ �,, r . (home)�°��� ��Z_��7�� <br /> � �7�,,� (work� <br /> MAILING ADDRESS: ��� I D T I�,e�/•�1�Y: �''/��C ZIP: `�>'� . ��� <br /> ,— , <br /> �'> ' <br /> CONTRACTOR: )�-/C-��_ PHONE: _�fy�/��� <br /> CONTACT PERSON: >�-J�/� MOBILE/PAGER: <br /> MAILING ADDRESS: ���/� CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCI�ITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�,�; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Altera•ion ' <br /> ,--, <br /> �- � � �, ; <br /> PROPOSED WORK(describe in detai�: ( �.� ?�-%� ��1� �- � �'��� �� -�"�%--�__ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET._____ <br /> ___. <br /> r �-. ._: _ ` „___-�\,, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding l�: $ l�(I� �--� <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 Ciry 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 i�n-accordan�e with the approved plan. <br /> ''� �`, / �� , <br /> APPLICANT'S SIGNATUREI,: � , i� DATE: �-��l-��G� '` <br /> - ____ <br /> __ �_" _ r . <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br />