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Total Fee: $ � Date Received: <br /> ' Entered By: �O Permit#: /� 7 7� <br /> CITY OF ORONO - BUII.DING PERNIIT 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 R CONTRACTOR <br /> JOB SITE ADDRESS: c�C��C� �c� I� co►°� � ���'t ZIP: � �� �� �' <br /> AME OF OWNER: 1 ��'►��� �(.� Z e�� PHONE: (home) �1 y � —U��� <br /> N <br /> (work) <br /> MAILING ADDRESS: :����C� -`'G�r�-� L� CITY: �(Zc�n v ZIP: �;;3.`��o <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��• REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK describe 'n detain: � _ �� i �� 1 Z-1 ��` � ► �`� <br /> ,.'' �� <br /> STORIES: SQ.FEET OF EACH FLOOR: �c�� x �Z� `�I���, <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ������ <br /> I hereby apply for a building pemut 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�' ccordance w' the approved plan. <br /> ;-, <br /> APPLICANT'S SIGNATURE: 'L-� `� DATE: G� r I `� r� � <br /> NOTE! Parade qf Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />