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Total Fee: $ J�j , 03 Date Received: /�- � U/ <br /> ' Entered By: ! Permit#: �f 0 �lSS�-� <br /> . �?,� �a'1� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: ��,���t� PHONE: (home) / �y�Y�a <br /> (work) (�lr��YS`� �/ya� <br /> MAII.ING ADDRESS: l�'�n b �,r�c�x'Y�o n�CITY:,(Z�s1�LZ�_ZIP: <br /> CONTRACTOR: �A r . ��� PHONE: �/� S'S ��.?? <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 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�: �;�, � A 5� �n�� <br /> STORIES: ,� SQ.FEET OF EACH FLOOR: �S-U <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DE <br /> ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ ,�S,D n n <br /> ��.. <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 in accordance with the approved plan. <br /> APPLICANT'S SIGNATLTRE: DATE: �j� - �-�/ <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 />