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Total Fee: �/� 9�_ Date Received: <br /> � Entered By: ,cj� Permit#: //'�7 <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: v'��'O J�U�� I_.%'���-� 1�. ���L ZIP: r��„ <br /> NAIVIE OF OWNER: f�a���.( �'`�'�o����1 �s�•�' PHONE: (home) �f 7.5 t'���� <br /> � (work)� <br /> MAII.ING ADDRESS: `7� •M� c15 ���'4'� CITY: ZIP: <br /> ��! <br /> CONTRACTOR �_�Nc��t��-Cnv� PHONE: l�5! -Y5�/c'?`�5�, <br /> CONTACTPERSON: C':�c. �c��.Tc��vc'S MOBILE/PAGER: l�•l,�. i�=3 j��SC� <br /> MAILING ADDRESS: ���tcac> ?; b ��r }'�r�,--, CITY: �-c:� <>c: � ZIP:�"5i.� <br /> STATE LICENSE: # � � — <br /> ja� �j� �� �-� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure '� <br /> Move Remodel/Alteration Land Alteration <br /> , ,---, � <br /> PROPOSED WORK(describe in detai�: �� .���'�e�-�_ `j���� c-� `��-c=�� `�'-"� �� <br /> i�x-r, KF'-���6, l C �""�.� ��- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %?, ��C'- �1�r� <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 /> pernut; and that the work will be ' ccordanc with the approved plan. <br /> � <br /> , <br /> ----- <br /> _ ___. _ __ _... _ <br /> APPLICANT'S SIGN`�'FURE --^--"'" DATE: � � �' <br /> 4 — <br /> NOTE! Parade Qf Homes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />