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� �� <br /> � Total Fee: $ ���� �7 Date Received: ' 7 �� <br /> • Entered By: �' Permit#: �tl oj a <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 R CONTRACTOR <br /> JOB SITE ADDRESS: �,� �_ s7z/�13�!-/ �,V.- ZIP: �`,�:���� <br /> NAME OF OWNER: �J�NN/� ]�j� �Nl� PHONE: (home) s�-�3-�5 38 <br /> (work) ._-�--- <br /> MAILING ADDRESS: �,��/sTv/3�.5 �y,�v CITY: �;.,v�v�,.,�ZIP: S S 3:�9 <br /> CONTRACTOR: �=�w,U�rZ PH4NE: �J 3 � � 5� � <br /> CONTACT PERSON: 17��/,uiS MOBILE/PAGER: ----_ <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/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�: <br /> STORIES: _� SQ. FEET OF EACH FLOOR: � �� <br /> NO. OF BEDROOMS: -- GARAGE STALLS: ATT. ----DET.�-- <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �l.3� 3l S <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 /> ., <br /> � APPLICANT'S SIGNATURE: �.-'�,����j ,��t�.���.f.z,,,�'DATE: ,��� ��- C�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />