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�. <br /> t <br /> Total Fee: $ ���3 l. '�c� Date Received: (o`��, Jp� <br /> Entered By: l' , Permit#: 1 � 5-7C� <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: ,�7�7� j<I��� ���;�= `�� .;�� ZIP: J� ��; <br /> NAME OF OWNER• �"U�����.��^� �,1� PHONE: (home) <br /> . (work) <br /> MAILING ADDRESS: c��� CITY: ZIP: <br /> CONTRACTOR � r�I��.w�'�. �S'-��5 PHONE: �� 5 -�'3�- � <br /> CONTACT PERSON: � S� z MOBILE/PAGER: ;��''�y 6�I <br /> MAILINGADDRESS: ��c:l K�. ����._ CITY: �.����.��� ZIP: Sj3`�� <br /> STATE LICENSE: # �:c�3�f�3(�• <br /> ARCHITECT/ENGINEER: ��,�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition X Accessory Structure <br /> Move Remodel/Alteration �C' Land Alteration <br /> PROPOSED WORK(describe in detai�: � �k�sy �-�i�_,I 1;�c�_�� �— /�1.:c� �i:c<��a L�.,..�c�n� <br /> ir,��_-,1�.� c,�i�, � <br /> STORIES: � SQ. FEET OF EACH FLOOR JC�C� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �C�C,C�C'G' <br /> I hereby apply for a building pernut 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 ' cordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ����C� !�'�% <br /> NOTE! Parade of Homes events require separate perinit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />