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., " . .-� �,, <br /> ` /� "� � <br /> Total Fee: $ ��' ,� � " � ���_� / '�' Date Received: �U <br /> Entered By: Permit#: �jLi 3���;� <br /> c•:_ i l,-��c 1 ---- � -�_((�: (�,� ' <br /> CITY OF ORONO - BUILDING PERIVIIT 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�ONTRACTOR� <br /> JOB SITE ADDRESS: f� l L' S ��r v � � �lc<<� ZIP: <br /> NAME OF OWNER: ��cr_ i raF� � v� r c�r'�5d y� PHONE: (home)� �/����:� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �l i�/r�.�c� � So��� s / A,-��` PHONE: j 7� • �7�� <br /> CONTACT PERSON: /� I c�-r ,.,c�r, E MOBILE/PAGER: j� �� _ 02 � 6 - �.1v�,, y <br /> MAILING ADDRESS: '[3 6 � / 3 � CITY: J� r /�;,�,. ZIP: �,,1 �' <br /> STATE LICENSE: # /�t�U <br /> ARC�IITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: /�/� w � s ��r c� � c v s c- <br /> —� —�� <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: J �3 ,� /s f /v33�` �° w`�"" <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �_ DET. /r vc-� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $���' �a�a °�j <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 /> APPLICANT'S SIGNATURE: ��_��,�,� , ',�.�..�-,� DATE: / J - o�SJ �'' C� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />