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� . <br /> �G� <br /> . - �;:-=, t u <br /> ' Total Fee: $ 1 ���.7�`_� Date Received: � ' �3 "�� ��„ �D ' F��" <br /> � Entered By: Pertnit#: �!�;1�{��'j , `-�`�``, <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 /> i <br /> THE APPLICANT IS: (circle one) OWNER OR"CONTRACTOR <br /> JOB SITE ADDRESS: I 3CJV l�� I�(�L� �(� ZIP: -�.;3� / <br /> NAME OF OWNER: � PHONE: (home) ���1-`�y�� <br /> (work) <br /> MAILING ADDRESS: ���j� �Z� �' j��, CITY: ��r�r ZIP: ��`� <br /> CONTRACTOR: �Uv W� C,01�• C� = PHONE: /� -O � <br /> CONTACT PERSON: i,�J �_ MOBILE/PAGER: 7�/- C� <br /> MAILING ADDRESS:��:� � ' �,�,c� i�(n� CITY: ZIP: � � <br /> ST:�TE LICENSE: #�-Q%a-S(O7 � � i - �;��� <br /> ARCHITECTlENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYP i: OF WORK: NPw Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> � <br /> PROPOSED WORK(describe in detai�: � ,� � � �J � ' �'t.� <br /> _�,. G_ �x. <br /> STORIES: � SQ. FEET OF EACH FLOOR: I �00 r�(,�,� f0_�s F�a,�f F,�„� <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �_ DET. <br /> � <br /> ESTI�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 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 /> permit; and that the work will be in accordan e ' t approved plan. <br /> APPLICAI�TT'S SIGNATURE: � �?, � DATE: . /�- ��'� <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />