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�� <br /> Total Fee: $ �� Date Received: <br /> Entered By: � � Permit#: <br /> _ l.% ` <br /> CITY OF ORONO � BL���G PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------- <br /> THE APPLICAN'T IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � � � '�( ��r�C �r��� ZIP: <br /> NAI�ZE OF OWNER: � '� d �'� PHONE: (home) 1�J �g J / l 1� <br /> n (work) �J�Z 4'�!`a' 9 � � 3 <br /> MAII.INGADDRESS: ��7� J"� �r�L� CITY: C�ru�-�-�•. ZIP: S��J� <br /> CO\`TRACTOR - PHOI�TE: <br /> CO`�'ACT PERSON: MOBILE/PAGER: <br /> 1VLAII.,L�TG ADDRESS: CITY: ZIP: <br /> ST�,TE LICENSE: # <br /> ARCHITECTlENGINEER: PH0�1E: <br /> MAII..I�i tG ADDRESS: CITY: ZIP: <br /> NA..1IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> i ✓�y <br /> Move Remodel/Alteration Land Alteration�� <br /> PROPOSED W �(describe i detai�: p�, �I p� C��f �j Ct,� Gt y�d C� <br /> �/1O VV10�f� �-+'�Glv� 1 �� � s O i� � '('� au� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding 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 Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wi�I be in accordance with the approved plan. <br /> ,. <br /> APPLICAltiT'S SIGNATURE: DA�'E: �L Ca 2 � S <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior o the event. Non permitted events will not be allowed. <br /> � � �� <br /> C�, 5 <br />