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Total Fee: $ Date Received: Z- Z�g-na <br /> Entered By: Permit#: �o aa 9� <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 /> � �v <br /> � t� <br /> 0 JOB SITE ADDRESS: ^��y; ,�`j�;e�•r� ��—,'�L Z�� J�S.39/ <br /> 0 � <br /> � � <br /> NAME OF OWNER: ��� s�� ��d ,(� ��.n PHONE: (home) �)/ $�/.�3 <br />� � (work) <br /> � � MAILING ADDRESS: �`�y��' _��� CITY: �(/q�,���� ZIP: ��/ <br /> � <br /> M <br /> � `� CONTRACTOR: G�d,'so� S�'�.�s PHONE: �z3 7�/�i'9 <br /> � � , <br /> CONTACT PERSON: �om S�,•�1�,�_ MOBILE/PAGER: �$�$" ��/y z <br /> C � MAILING ADDRESS: S/D l�r rri Li�/ CITY:�� �,� ZIP: <br /> O �� STATE LICENSE: # <br /> `� <br />� � � :�RCHITECT/ENGINEER: _�///.�- PHONE: <br /> � � � �+IAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �"„��y-!/ ,vew �/�X/o� �//���h,f-�� <br /> �c,�� '� 7`7�e. SFt��e D/,4�c .45. �I�I oNC <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BED OOMS: GARAGE STALLS: ATT. DET. <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � , �OO. <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: ������ � --�_ DATE: �--a 7—�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />