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.� . r <br /> � <br /> , � 7'otal Fee: $ �j��� �j Date Received: " � � �� <br /> Entered By: �Nv(_ Permit#: � � <br /> - r; � <br /> ' ` CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> ;'�,�i� ' _�, <br /> � � � All information must be submitted in full before plan review will be started. <br /> i (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 4'S55� `Yv�+:,+'z o�t c�, �l��{.., ZIP� �.S-3 �7 <br /> NAME OF OWNER: �7!�, �T �c-�,Z"► e,r PHONE: (home�7�3� 5� 7 3 - �'D�� <br /> (work) (f�+'a� •�.8�-� �(i 7 <br /> MAILING ADDRESS: �i'���5 !'vC+l:Y 2a`t.� 13�� CITY��I P, i�l r�; ..,. ZIP: �'s 3�'� <br /> P.���, � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ��C ;���,rf'�(,� PHONE: ��� y `��i _, ��f�c� <br /> MAILING ADDRESS: ��'��''�� vv-��•��a,t� ���.�� CITY:l���/,ti �� ���- ,ZIP: �s`s`'%„ � <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��y ; i �,j, �y��,,,� ��� ,�, �w;i�;�,..� <br /> STORIES: � SQ. FEET OF EACH FLOOR �� �d <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �y � �}�p <br /> � <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: ,�io�� `� DATE: �/' �� �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. <br /> 5 <br />