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t � <br /> . r <br /> Total Fee: ' $ 3;,�,`3, ��_ Date Received: � -� �G�� <br /> Entered By: �� Permit#: Ff�� 'o���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 /> THE APPLICANT IS: (circle one) WNERIOR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: �`�l�j ��dd���y„��1d �.(jGi� ZIP: �S�'� � <br /> � <br /> NAME OF OWNER: _(1�(�k. �Lp�� cw'1p� C1�►��ti PHONE: (home) �5� - �}�i'I b�7� <br /> F�Y�k �OS�k- �work) �i.�- .' ���4-�l��- <br /> MAILING ADDRESS: � � � + CITY: �_�����^ZIP: ��,�-�'�l <br /> CONTRACTOR: �WY1e.� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ���P �����, PHO�TE: ��2 ' 3 4 S ,3 <br /> l�IAILING ADDRESS: CITY: ZIP: <br /> NAi�IE: REGISTRATION# <br /> TYPE OF WORK: New � Addition ✓ Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK (describe in detai�: � � P�W ��C� . <br /> STORIES: � SQ. FEET OF EACH FLOOR: �='r� �4 i.2 �"'�:� _ <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ �T. C} <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $_�,, Q�C� <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 accordance with the approved plan. <br /> _, <br /> APPLICANT'S SIGNATURE: �,�, DATE: `� �I (3� <br /> NOTE! Parade of Homes events require. eparate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />