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Total Fe�: � l� ' �� Date Received:
<br /> Entered By: 6'�'L�rY Permit#: j l � ,�,.'� � �
<br /> CITY OF ORONO - BUILDING PERMI�' A�PPLICATION � �
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<br /> A.11 informa�ion must be submitted in full before plan revie�v�-ill be started. . �
<br /> � {please prini all information) . .
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<br /> Z'HE APPLICA.�'T IS: � (circle one) . O�NER OR�LO��T�.ACTOR - �' � . � �
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<br /> JOB .� ..,�. . , ;J � ZIP• j;}';1-�Y..)�. !
<br /> SIT7E A.DDREss: � i � �"��>^,;�h,�i '�r°'.�,�—.
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<br /> � , �, � i_,: � ,��-r� PFIONE: (home) � � _ �(�L-' �
<br /> NAI1-IE OF O�'Y�ti�R: '�:, -?= .
<br /> � ' (work) ' �
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<br /> NIAILI�TGADDF'.�SS: ,�1 ^�� I�����;'i; G��v CITY: ZIP: ���_ j.
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<br /> CONTRACTOR: �,`��"�t,V'� �`-u��� °�i���,� PHONE: `,� �� �� �,�i �. - ',
<br /> � CONT'ACT PERSON: ,` °�,� , �YIOBILEIPAG��.:�� ,I
<br /> MA,TI.,TitiGADDRESS: �. - �',' ��' ��`� � CTTY: ��� . ���_hT-b'— i
<br /> STATE LICE�iSE: # '��-'��-ii E;� �
<br /> ARCHIfiECT(E\TGItii'EER: ' . PHOtiTE:.� .. I
<br /> iNAll�i�'G ADDRF,SS: C�TY: ZIP:
<br /> . ��ME: gEGISTRA.TION#
<br /> TYPE OF tiYORb: New Addition J Accessory Structure
<br /> Move Remodel/Alteration�_ Land Alteration _
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<br /> ' � l ` � , ,�. � `'�',�1'�L;1;�
<br /> PROPOSED ti'�ORT�(describe in detai�: 15�� � i��v vc� ��.`�id�'�`� �
<br /> STORIES: SQ.FEET OF EACH FLOOR: DET.
<br /> NO. OF BEDROOMS: GARAGE STALLS: A'TT'. _____ -�- � . � . �
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<br /> F„S'T .P'i IA,TED CONSTRUCTION VALUATION (exclucling land): $_��.�`'�',�� �
<br /> I hereby apply for a building permit 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 Buildi.n� 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 in accordance with the,a�proved plan. ,
<br /> �� D�.�: � ; � �_,�;
<br /> APPLYCA.��TT'S SIGNATURE: ���,�����.���,� ,�`�:. ti�1� .1
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<br /> � arade H me events require separate permit approval by Police �epartment and
<br /> NITE. �
<br /> � City Counci160 days prior to the event. Non permiited events will not be allowed.
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