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't'otal Fee: $ �`j. .� � Date Received: <br /> Entered By: Permit#: %C:C�i��; <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) OWNE � OR CONTRACTOR <br /> JOB SITE ADDRESS: ��f�� ��f��(v�-�-�iUe '�����ZIP: SS�39Z <br /> NAME OF OWNER• ��✓q��� }�-c,r d wa�� PHONE: (home) �l" <br /> (work) y 7/—910 0 <br /> MAiLING ADDRESS: I�� - r�=�rc Y v CITY: N�u� �� � Z�: S S 3`l Z <br /> iV�a r�� M S �i 2 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move �Re_mode Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: IZPQI A�� ��� �'�o��y v.� S h� ����I��^5 <br /> , <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTTiVIATED CONSTRUCTION VALUATION (excluding land): $ � �y`].'��. �°_ <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 Ciry and with <br /> the State Buildin� 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 /> � <br /> APPLICANT'S SIGNATURE: �� • ^r-�� DATE: ��/- `� � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />