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� Total Fee: $ Date Received: 3`r�'� <br /> Entered By: Permit#: {�0 a�yy <br /> CITY OF ORONO - BUILDING PERNIIT 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: ;��= �� �/i��'�L�/�%�' ����,'�IP: <br /> NAME OF OWNER: �O�l-(r f�1��� S�j�/J�/�'e PHONE: (home) �`��' 3/TC <br /> (wark) �� ?�% ���^�' �' <br /> MAILING ADDRESS: /'f 75 �/�it���/�I��ITY: y�/��'��i�ZIP: �' . �/ <br /> ��� <br /> . <br /> �7/ �'� ��a o��>� <br /> CONTRACTOR: /�D�,��l ���i%��� PHONE: ;�,� �S�S ���t <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: '�1� , � ��/%'��i��/l�'•� CITY: (��/1��c��' ZIP: ��j 3�t / <br /> STATE LICENSE: # � ��t✓/' <br /> ARCHITECT/ENGINEER: �'/�%��% PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration L� Land Alteration <br /> PROPOSED WORK(describe in detai�: �l� /<- -�'/�'� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,'-�,G�%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 /> i � ,% �/ <br /> �� : . � � �; .��. , --� , <br /> APPLICANT'S SIGNATUR�� tl�� �'�' `���--DATE: �~ �/ - �r�'; <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />