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�. <br /> �,j�; <br /> • Total Fee: $�� 1 � Date Received: �L.; / i C% �O� <br /> Entc;red By: Permit#: f� �� ���7 Z_� <br /> ! <br /> CITY O�� ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT I,'>: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �-//�"$ (o`�h r'�� IL' I1,��.. ;,, ', ZIP: ,S s ,j� �- <br /> NAME OF OWNER: j`�-e� e n� �_) c�.,r :. �i �� -�:�, PHONE: (home) �l7.3 y /3 c� G <br /> (work) <br /> MAILING ADDRESS:�1/�,S (Q��, ��,:� /�, CITY:,(�<-...�� � ., � ZIP: �"S.3 S G- <br /> CONTRACTOR ��i�, rv e �°' PHONE: `i S1 `� 7 3 � /3 c-� �i. <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: N�w Addition ��� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: J �i t�� c� <br /> NO. OF BEDROOMS: y� GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ :: '' � ` `� `' <br /> I hereby apply for a building pernut 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 /> APPLICANT'S SIGNATURE: ;� � .� �.--r.�•— DATE: r�: ,}� <br /> ` <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />