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�� <br /> � <br /> . i. � r,:�=r, <br /> t Cf z 2 _'� /� <br /> • �Total Fee: $ , ;��,,Date Received: �P- � �- �� � <br /> � Entered By: -�> ! � Permit#: � �3.3� <br /> L.ra y=%`i ���°L , � :� . <br /> CITY OF ORONO - B G PERMIT APPLICATION <br /> All information mus,t be submitted in full before plan review will be started. ,� <br /> � (please print all information) �` <br /> f.. <br /> � �f "�`/ <br /> �� �� _��____-��-t-�-�=�-`�----------- ------------------------------------------------------------------- <br /> ------- <br /> � THE APPL CANT IS: (circle one) OWNER OR CONTRACTOR <br /> � i� �� i� �,�,1,� • ,�- �4.� <br /> B siTE an�xEss: l`�t 1 S������� ������ zlr: � 5� t l ,� <br /> �� � ����►_ � '�' <br /> � �� , ►� > � --� <br /> �����'��� � � / D . <br /> � NA���OWNER: �Av1 e(- d- l��c �a�z� �v-c c�� PHONE: (home) �'j'So2 �`7G-��s�' <br /> . ������ �L�L�-' '" � (work) ��lS.� �'7 -- <br /> �/' ' AIL DRESS: j �(cG ( ��i.v J2��„�e lD tZ CITY:��; u vl v ZIP: 5 S3�l l <br /> � �� ; ���� <br /> -y � � � �✓a v�F���tvl f <br /> ��� �� / � ), � � � ! . <br /> , ,�n 1 CONTRACTOR: � E � PHONE: / � l I� �;`>� <br /> �1� CONTACT PERSON: �.C u rz S „-�t MOBILE/PAGER: `�� <br /> MAILING ADDRESS: ,�/S� ,���,� L�a CITY: ��ti L ZIP: ,S s�G� "� <br /> STATE LICENSE: # <br /> ���� . <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> ,..,�. <br /> TYPE OF WORK: New � Addition Accessory Structure �, <br /> Move Remodel/Alteration Land Alteration � <br /> -�,. <br /> / �� , <br /> PROPOSED WORK(describe in detai�: �� i�.-� ��, �,�-�.e. _�P% �-/✓/1<�° �� <br /> � �2Jc-�-= i�t ,� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� LS, �;L�' <br /> I hereby apply for a building permit and knowledge that the information above is complete and <br /> accurate; that the work will be in conf rman with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I unde tand t is is t a permit and work is not to start without a <br /> permit; and that the work will be ir�acc ance i � e approved plan. <br /> APPLICANT'S SIGNATURE: �%,���� �'7 DATE: G /4' D� <br /> NOTE! Parade of 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 /> 5 <br />