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Total Fee: $ $5, $3 Date Received: .S!/�-/o� <br /> Entered By: � Permit#: ��;2z.9 Z <br /> CITY OF ORONO - SUII..DING 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 /> � <br /> JOB SITE ADDRESS: u,�� ��l.�t.�(r�,� d� � ZIP: j�j"�Sl� <br /> ,.� t�nc� ���x., <br /> NAME OF OWNER: �.1���uz�> �� 1/�uTlNl PHONE: (riome)�f��- �!�31�{c� I <br /> (� (work) <br /> MAILING ADDRESS:� 35 �sJ v�- t..CJ 1�i;�� CITY: ��` ZIP: �5�� <br /> CONTRACTOR: S`�-L� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING 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 Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��'�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ `_j��� �(�('�-�- � <br /> �� <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 /> J �i .� � <br /> APPLICANT'S SIGNATURE:���N.�s t�-c� �( C�'-i� DATE: `� , ���' <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />