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Total Fee: $ / ����� �} Date Received: <br /> Entered By: ��� Permit#: ��� %Q <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 O CONTRACTO_ <br /> JOB SITE ADDRESS: � 'j� �j k�}} �� `� ZIP: � � ���� <br /> NAME OF OWNER: ���L (��(,J�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �5' (� �j�t H �Qv�' CITY: (`���C� ZIP:�5��/� <br /> CONTRACTOR: � � �T ,`� /a�5(.,� PHONE: �-��Z�(��(c�ej <br /> CONTACTPERSON: Gq�T�. ���1��Sc��1 MOBILE/PAGER: <br /> MAILING ADDRESS: J L�4(� �l��P,;� ` St;-r�,. CITY: t�,1 �t,� ZIP:���� <br /> �----T,-c <br /> STATE LICENSE: # /`Q���C� <br /> ARCHITECT/ENGINEER:�,�,�.,F ' � � /�p.�u.��c�jj'HONE: ��,-; � g�'�gC� <br /> MAILING ADDRESS:��� � r�r�cn���,��f����ITY: '�''� ��>� ZIP: ��C�f�15� <br /> NAME; � GISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration _ <br /> PROPOSED WORK(describe in detai�: ��� - �,� S�;I�(� S�j'�`� �n�[1'rr`��� <br /> STORIES: �- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. ,� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /_��,(�'�, <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 /> � � � <br /> APPLICANT'S SIGNATURE: ,, / �DATE: � <br /> NOTE! Parade of Homes events require separate permit approval by Poliee Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />