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, Toial Fee: $ 1j •7�''. 'i � Date Received: <br /> Entered By: � , Pernut#: `�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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ;,�' � ,�C� '��� 4'U yl�%c��d� �C�rZIP: �-.S^` 3 :� / <br /> NAME OF OWNER: Ji(/ C{ � �-� r ��� �JI �'�'I�f�' PHONE: (home) �-f 7 �-�;�,� <br /> (work) y y j- �,� c� � <br /> MAILING ADDRESS: � 2�v2. CITY: ZIP: <br /> CONTRACTOR: x�C� lt_S--�T�`�"f� C�c hl.)I /��t� . PHONE: ���.� y�� or��-. <br /> CONTACT PERSON: �-� x -��.�� MOBILE/PAGER: �-��`• �l'f.� s•`� <br /> MAILING ADDRESS:�`1 s�'' �`k,��^�� /��.�' CITY:�I�;'�`�i��z�'� ZIP• j`J"� <br /> STATE LICENSE: # � S�� � <br /> , <br /> ARCHITECT/ENGINEER: ��'C�fC� )L�����7-A �����' PHONE: .l�-�l.,.1. �� J,� (; z Z Z <br /> MAILING ADDRESS���% /`f�it/�T,�s�� ,J�Gc I c- CITY: G�1�-y'7_.Ci-7ja ZIP: �'s=�`)/ <br /> NAME: f��=z l�E� �C �r%i d 7 REGISTRATION# <br /> TYPE OF WORK: New Addition�- Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �'� j�,�`'�j� /������r�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �S�C-� L �� <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � �' DAT'E: �1 -�- �`� � <br /> /�" <br /> �� <br /> NOTE! Parade Q�'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 /> 5 <br />