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�� <br /> . Total Fee: $ I ��� �'' � DateReceived: ,} - f �, - fS <br /> Date Approved: <br /> ^ Permit#: (� J� �� �--� <br /> Entered By: ; � <br /> J <br /> CITY OF ORONO - BUII�DING PERMIT APPLICATION <br /> ALL I�i tFOR��IATION NNST BE SUBMIT'TED IN FULL BEFORE PLAN REVIEW`YII.L <br /> BESTARTED <br /> ----------------------- <br /> ----------------------------------------- ------------------- <br /> THE A.PPLICA:�'T IS: (circle one) OWNER O CONTR.ACTOR <br /> �:� <br /> JOB SIfiE ADDRESS: ��v �� �SQ'ni� ��'� ZII': <br /> N�tiIE OF O�V��ER: I �� ��� �1�� ����� PHONE: (home) <br /> (work) <br /> 1�IAILIPIG ADDRESS: �t�l D r`I P.Ut.f � CITY: (��il n D ZIP: <br /> I '�� Pxo�: �l5=- � � v <br /> CONTRACTOR: '�h� �- +� r� � <br /> p� IOBILE PHONE/PAGER: �7�-- S S S <br /> N1AII.Ti�1GADDRESS: � (� S� �c1 F-�i� :a� � CITY: j�'����-.,L.. ZIP: � � ��J Co <br /> STATE LICE�tSE: # y �-3�� <br /> ��.-�i�y �ct�l��l�o� , ~� / <br /> ARCHITECT/ENGI�i]EER: � L1" ���I�N PHONE: � / / ` �J� �� <br /> 11�iAILIi`TG ADDRESS: CITY: Z�: <br /> N��; REGIST'RATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X. Land Altera�on <br /> � ' � ��u� � ��� <br /> PROPOSED WORK(describe indetail : M�)�d � K�I t r �: .�, �Pm d���e <br /> � � r:�.,�I�.- �,�,, r. � - �o �, �✓�� o��•�-`- <br /> J <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. <br /> TTVi IATED CONSTRUCTION VALUATION(escludingland): $ % �—, C����° � <br /> ES � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work ' be in,,.ar�cor ance with the approved plan. � <br /> `;? � .� � �-�<�- <br /> APPLIC���T''S SIGNATURE: DATE: <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />