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Total Fee: $ �.5/- -z-3 Date Received: � � (�, <br /> Entered By: �-�; Permit#: A C',;�.� .��-- <br /> CITY OF ORONO - BUILDING PERNIIT 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 /> �� ._ , <br /> JOB SITE ADDRESS: �G(,P� ��'�f���'� �i `� �'���` ZIP: �J 5 �<<' <br /> NAME OF OWNER: �_ �"`�""� /�"�/���� PHONE: (home) `�f �" ��C�"' <br /> (work) ��/- -�/ � - 3 52� <br /> MAILING ADDRESS: ��%� ��i`aU� �"�_ CITY: � ��l! ZIP: SS-36 � <br /> CONTRACTOR: ���-�' PHONE: <br /> CONTACT PERSON: 1`vIOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: Z�� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZII': <br /> �JAME; REGISTRATION# <br /> TYPE OF WORK: New __yyj_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> , <br /> PROPOSED WORK(describe in detai�: 2 3- 5 X �--� � <br /> ♦ <br /> STORIES: � SQ. FEET OF EACH FLOOR: �� � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ES <br /> TIMATED CONSTRUCTION VALUATION (excluding land): $ ��Z► �� <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 wi the ordinances and codes of the City and with <br /> the State Building Code; that I underst d this is t a permit and work is not to start without a <br /> permit; and that the work will be i ordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: — <br /> DATE: v - Z v - �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 <br />