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s <br /> � Total Fee: $ jj'�N SS Date Received: <br /> Entered By: � Permit#: �QS'7 <br /> CITY OF ORONO - BUII.DING PERMIT APPLICATION <br /> All information must be submitted in full before plaa review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> t� <br /> JOB SITE ADDRESS: 3 � z � - G I¢�� /U, ZIP: SS 3�6 <br /> L Yoy' �/°9 <br /> NAME OF OWNER: l3 �e� l � `�'�e�' PHONE: (home) �-��'�� <br /> � (work) ��� - S/ 5�3 <br /> MAILING ADDRESS: 3(� �- 3' - 6 t /��� /U CITY: p�o� o ZIP: S S 3 5'C <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detain: �e ���e t�� ����, t � n � S i�PS <br /> o � ��� w;�'4 4.'.. e 64e /�c� �o� w;..�/o�v <br /> STORIES: I SQ.FEET OF EACH FLOOR: - � � � S 9 • ��`- <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. �_ DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ z G �O. <br /> I hereby apply for a building permit and I acl�owledge 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 /> APPLICANT'S SIGNATLTRE: G�'° h- /�%`-"�— DATE: /D z ,� °� � <br /> NOTE! Parade qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events witl not be allowed. <br />