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, <br /> Total Fee: $ % '��'. .3 � Date Received: �/7�� d <br /> Entered By: �� Permit#: ,�p,2/,Z9 <br /> CITY OF ORONO - BUII.DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------- - ---- <br /> �__�_, <br /> THE APPLICANT IS: (circle one) c' OWNE&�OR CONTRACTOR <br /> JOB SITE ADDRESS: �r�� ���T�� 1�t�v� ZIP: 5�..�`�/ <br /> �i <br /> NAME OF OWNER: � � � v��'.Sl- PHONE: (home) �7�3'-�� <br /> (work) <br /> iV1AIL�'G ADDRESS: �'�� �,P/fT�S��'e_ CITY: G�.� ��- ZIP: S3 l( <br /> � CONTt't.1CTOR: /�E�/'i TLa4�cJi) PHONE:(G��z� �`I`f —Sy�� <br /> CONTACT PERSON: MOBILE/PAGER: . <br /> MAII.ING ADDRESS: CITY: ZIP: . <br /> ST�TE LICENSE: # <br /> � c.�;[� �� �►��'�ri� f�us ���� �9-�''� �zrc��J���c�s�e 5 L c�,�,.��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> I�iAII..L�G ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � �� Z� �-�%i � � � �« �� �� ' <br /> .; �l ; ��/��ti u �/ <br /> STORIES: SQ.FEET OF EACH FLOOR: � Z �� ;�'T <br /> 1 <br /> NO. OF BEDR O�IS: 4U�� ����-• -- ��" • <br /> ESTII�i IAT'ED CONSTRUCTION VALUATION (exclud.ing land): $ q���� � 3�L'� <br /> I hereby apply for a building permit and I acknowled�e that the information above is complete and <br /> accurate; chat 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 pernut and work is not to start without a <br /> perm�t; and that the work will be in acco ce with the approved plan. <br /> APPLICANT'S SIGNATURE: f �•__G���dL�--- DATE: �L'�' <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> Ciry Counci160 days prior to the event. Non permitted events will not be allowed. <br />