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��' <br /> Total Fee: $ �/<� �� Date Received: <br /> Entered By: .,�� . Permit#: �'_�-;��� <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) OWNER O��ACTO <br /> JOB SITE ADDRESS: , �+C�L� - n JC G'` ZIP: ��� � 1 <br /> �r�� �-Z_ !�t S� I <br /> NAME OF OWNER: �+ �� � ��'�t'Ht�NE: (home) <br /> —T �., (work) <br /> MAILING ADDRESS�.S�G .5�� • �CITY: ZIP:�3 / <br /> CONTRACTOR:C��iti ��tsl�+` ;(�G�/" PHONE: �� �`� � <br /> CONTACT PERSON: t MOBILE/PAGER: o? Q • �'-/T�� i <br /> MAILING ADDRESS:�`y�' ��t�- CITY: �Gr�v�) ZIP: ��� <br /> STATE LICENSE: # �� �'� �F� S•� <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�: —�rv.` l � � ° <br /> STORIES: SQ. FEET OF EACH FLOOR: �t r�,jc � .'7�' <br /> NO. OF BEDROOMS: '�� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�,�, �y�1� <br /> I hereby apply for a building pernut 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 accordanc� with t e approved plan. <br /> � ` <br /> APPLICANT'S SIGNATURE: DATE: - �— � ' <br /> NOTE! Parade o Homes events reg ire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />