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� <br /> � <br /> Total Fee: $ �,-T�j�� �� � Date Received:�,�'/- _�?�- c��_ <br /> Entered By: �' Pern-ut#: �`-'; :� <br /> CITY OF 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 IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��'�>�J �����'�`�- ,�L'�= ZIP: �55�'�I� <br /> NAME OF OWNER ��`=�=-�'`� �� �`'��=��' �'�_._ PHONE: (home) �<� ��_�'=�,� <br /> (work) <br /> MAILING ADDRESS: '��7�`�, �t-`�"�3�-� �i,�� CITY: Wl-a-1�=�S<� ZIP: <br /> . r--- <br /> CONTRACTOR: �'.'��=�>�t� ��zi�-��=�� PHONE: �%�, -�,���:�: <br /> CONTACT PERSON: ��� l�$-c:1� MOBILE/PAGER: ��� -- t C�� � <br /> MAII.INGADDRESS: �'�`> Tc,�N.+.����t��-� CITY: Lt:t���t��_ZIP: ��r'=>S�, <br /> STATE LICENSE: # ����:;. <br /> ARCHITECT/ENGINEER: ���� t��L_.u�1 <br /> PHONE: �k�l<<; <�-c��� ,,_ � <br /> MAILING ADDRESS: �/��i;,,- �3�, ���� �,�r'� CITY: ZIP: <br /> rJAME; 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 /> �;,,; ESTIMATED CONSTRUCTION VALUATION (excluding land): $���,��>� <br /> '�-�s- <br /> �FX I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> 1��� accurate; that the work will be in conformance with the ordinances and codes of the Ciry 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 a�or�an�ce with the approved plan. <br /> APPLICANT'S SIGNATURE: ,` ��/(G{��___ '`�— - DATE: �-' `-'`� �/k-, <br /> ��, , <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />