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Total Fee: $ /�'�j;��' Date Received: ���5"/O c) <br /> Entered By: �',/� Permit#: ,/�-n��54r <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prini all information) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: a S�� �'� �`�� � zir: ..5�3 5`� <br /> NAME OF OWNER: L��~-' �i''�'C c�c'�;c��'._._f PHONE: (home)�/� ��oa-a�v3 <br /> (work) pdq�'a -��oZo � <br /> MAILING ADDRESS: ��� `'' � � �'' �"� CITY: ✓ilu,�� Y ZIP: c's�;!.�� <br /> CONTRACTOR: �;��c.� Cs ' ��.'u�'="'' PHONE: <br /> CONTACT PERSON: `� N10BILE/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�: � SP�-,��r �4/'G� � y��� <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (e�cluding land): $ `���''� �� <br /> I hereby apply for a building permit and I acknowledae 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 acco ance the pproved plan. <br /> ,- /� <br /> APPLICANT'S SIGNATURE: ,�.�',...� -' --�- DATE: , �'� lU "d� <br /> NOTE! Parade of Homes �s 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 /> 9 <br />