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�, <br /> � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUII..DING PERIVIIT 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 O CONTRACTO� <br /> JOB SITE ADDRESS: �� I O �j���+��- � ' Z�: ��3� � <br /> Ur�� <br /> NAl�TE OF OWNER: �m ti� � �.n •{1u PHONE: (home) y71-"7�75 <br /> (work) 3 y Z - (,�5 y � <br /> l�IAII..I�i 1G ADDRESS: 1�11 v >�a �-cU d- � CITY: �r-�,�a ZIP:__�1 <br /> C0�1'I'RACTOR: '�� t'11 m-o�►2� ��`r:v"�'�_PHONE: (d I Z - �3�- �v�19'� <br /> CON'TACT PERSON: ('� N��-e- MOBILE/PAGER: (01 Z- q�?�y - �R�� . <br /> NIAII�ING ADDRESS: �t� 7 c� 5-f-���� L n-_CTTY: `��..n ; �r i�ZIP: ���3�� 7 . <br /> STATE LICENSE: # �-I�-I �� <br /> ARCHITECT/ENGINEER: N / � PHO'vE: <br /> l�L4II�ING ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSE WORK(describe in detain: a�- ��5�� w'�� d�ul s �r�av`� �,+�-f- <br /> J ► , � <br /> C '' �;;�c�1 b�� c i 'W-�I( 4� '�� ' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDR001�IS: GARAGE STALLS: ATT. DET. <br /> ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ '3�,n `�1 7 � � _ <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 pemut 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: �-C�' � <br /> NOTE! P�rade of 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 />