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Total Fee: $ / �(,� ��� -; r� �� Date Received: ��z�/ �'�. <br /> � Entered By: ,�,� �5��" r,� Permit#: �J��;���� <br /> � c,;,� ;� ��z� < <ltil,� J <br /> CITY OF ORONO - B 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 APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: ��� �C�R I L�/! l/t/(1v G� ZIP: <br /> NAME OF OWNER: _� � Q y ��5 I PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �/ �''I��j'(S C�P�5 .� �G• PHONE: �S2 �S'�� $$ � 3 <br /> CONTACT PERSON:�U��-} �a�f�i S MOBILE/PAGER6�? — 3�' 3--��I 7-6 <br /> MAILING ADDRESS:�D l; ��w� f��,�-vP S, CITY: ��dc�M ZIP: �S�Zd <br /> STATE LICENSE: # P �' CG',/7�"�i���TO� <br /> ARCHITECT/ENGINEER: �►�1 R� PHONE: �.�i�� ���y —�-I'7y f � <br /> MAILING ADDRESS: �i Z40` (�Ul'')�dt IJ7`�c"�CITY: ,o-cr r-� ZIP:�G <br /> NAME:��`�(' ;. O`�/�S� ✓� REGISTRATION# Z�L�G/ �_ <br /> TYPE OF WORK: New Addition Accessory Structure <br /> � <br /> Move � Remodel/Alteration Land Alteration� <br /> PROPOSED WORK(describe in detai�: �P(�,C��'j,S r 57�i��1� �i ►'� ��'� �� �� <br /> v��T`� �SGy� /�C�? ���i P%�.�`'UY�7 (� a- �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> o�- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �aO� <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 ordina�ices and codes of the Ciry and with <br /> the Sta.te Building Code; that I understand tlus is not a permit and work is not to start without a <br /> permit; and that the work will be in a rd ce with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: � � � DATE: � � � � <br /> NOTE! Parade of Homes events require separate permit ap,vroval by Police Department and <br /> City Council 60 days prior to the event. Non permitted even�`s will not be allowed. <br />