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/? <br /> � Total Fee: $ � "- � �� Date Received: "0=l-�L-- <br /> Ent�ed By: y�rc- Permit#: � G� .`_> l�_ ` <br /> -� <br /> �b�� �/ � CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> � ,� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> r <br /> THE APPLICANT IS: (circle one) OWNE 1 OR CONTRACTOR <br /> �-s <br /> JOB SITE ADDRESS: .��'%� S - %% ��� . �✓�� ZIP: j _�� '.5 �, <br /> NAME OF OWNER: /�•-� .� �� /"") `/'(� L PHONE: (home) Y�' Y - `"�/�'`� <br /> � (wark) ;��> s Z� `� Y 3 - 6 `�-�,� <br /> MAILING ADDRESS: _j L� s � � r` ./��c.� CITY: i7�-�--. � ZIP: �J ..35 6 <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 /> NAME: REGISTRATION# <br /> TYPE OF WO12K: New Addition� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> P OPOSED WORK(describe in detai�: %ti� c�.���;f�_ 1 � �f- �w/� , �.-�w., z� ��--;,� <br /> � � ,/ <br /> ��� ✓��-c �� d.-, .� w � f r.. � �F�,✓ `�,7L 'f S - t-o �.. c ��'� /�,� o... �':, 1 C��e i S <br /> n �� � :-� ,�.� � � ;.� �-L�� � . <br /> STORIES: I ��SQ. FEET OF EACH FLOOR �Y `1 � .S=.. f- <br /> NO. OF BEDROOMS: = GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 5 U���' �� <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: � Z S G' ��L <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />