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� 'Total Fee: $ Date Received: <br /> Entered By: �/; Permit#: /�' 9 �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------�-�--------------------- <br /> --.._._.___.____.._.. _ . <br /> THE APPLICANT IS: (circle one) OWNER �R CONTRACTOR � <br /> -,____ <br /> __ ____.___/ <br /> JOB SITE ADDRESS: �-S-.S� �����i��-� (`�"" ZIP: <br /> NAME OF OWNER:�f i�,r� ��� �'����� PHONE: (home) �7 c�- C%+�-� ; <br /> � r-,� � <br /> � (WOIk) ��-Sr � ���> <br /> MAILING ADDRESS: /�S y ��,,� ti` CITY: (%�'`' ZIP: <br /> ��,��,� � <br /> CONTRACTOR: C�:_.�(�-� ( ,C����fi,��Gr� PHONE: J��_� SJo�S <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS:�X'/ r � �(A ` CITY:(���_� ZIP: <br /> STATE LICENSE: #'�'�?��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�.-��1�"I' `lY�ta�. � �C-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ,�-�C� -' <br /> � <br /> I hereby apply for a building pernut 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 City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA � ��� DATE: II—��'C� � - <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />