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1 , Total Fee: $ ��I ' �� Date Received: r -�-�� <br /> � J Entered By: � � ' <br /> , ' Permit #: ��i �/ �(��j <br /> ��i ,,,,���� � - <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: :�C; I�� �j �1�, ;�� �"�,,,� �'�,. ZIP: j'S j�� � <br /> � r�/;1� <br /> NAME OF OWNER: �C�� � 1�� ;� ni.� ���, ,�5,^ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: S�<�w� CITY: Gv�wc�zc�.=<.E ZIP: S"S�>�j / <br /> r <br /> CONTRACTOR: ��,�:�+�� �rU�"�lr�v S ����S�v�'����.-• PHONE: 7�3 --4d-7-�71 � <br /> CONTACT PERSON: {�c,�-c,�� ��,,h�, MOBILE/PAGER: 7(�3 -�`�(�� �Jo7� <br /> MAILING ADDRESS: �\�{��l �,i!1 r n��I�. , �wC �t.�- CITY: (�'`�,;;,.,�/,� ZIP: $S s'/(� <br /> STATE LICENSE: # (,'jL ��� (�(�U� <br /> ARCHITECT/ENGINEER: � S �o h✓t S�/� PHONE: ��o.��-�I�-S� U I 7�7 <br /> MAILING ADDRESS: CITY: (�S S z��' ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition t/ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: ( SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ - � I� Q(�, dU <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 /> APPLICANT'S SIGNATURE: f�r��►�'��-��f2 DATE: � - �I� �� <br /> NOTE! Parade o 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 /> 9 <br />