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1 <br /> � 1 �(� <br /> � Total Fee: $ ��� ,��, �j � • � � Date Received: <br /> Entered By: �'� Permit#: —f�=�-� <br /> � <br /> ,� ro��� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan re�iew will be started. <br /> (please print all information) <br /> -------------------------------------------------------�---- ------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) � OWNER ' R CONTR.ACTOR <br /> JOB SITE ADDRESS: 5��� �,�5 ,�'�Cz,c, �� ZIP: ��3�C� <br /> ��G L�S��a`�lt.,fZ,c.? � <br /> NA11� OF OWNER: ��C�j�,�HO�1E: (home) �7�c -���'� <br /> � -- (work) �73 - �3��! <br /> MAILING ADDRESS: �c�'������� t��-y /��`� CITY: L-i;���iC.�t� ZIP: G' 3� <br /> CONTRACTOR: C�„Ct�' !c�✓r1�.T/i 'La,�r� le�-GG�t�cc�.�z��tc�,('PHO�TE: �7`� -�'G��� ( <br /> CONTACT PERSON: ��;o ,,j��L.,� z�,-Cl„` �_ MOBILE/PAGER: <br /> MAILING ADDRESS: .��zt� �,�i �11���T�y CITY: �='.��:u _�-,:- ZIP: ���; �7% <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHO�tE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N���: REGISTRATION# <br /> TYPE OF WORK: New Addition Acc �� <br /> 1�1ove Remodel/Alteration Land Alteratio� <br /> PROPOSED WORK(describe in detai�: �(�<<�� �„-����,Tpt%c� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIR7ATED CONSTRUCTION VALUATION (excluding land): $`��`c%� ' <br /> I hereby apply for a buildin� 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 pernut and work is not to start without a <br /> permit; and that the work will be i��cordance with the approved plan. <br /> I � <br /> A.PPLICANT�S SIGNATURE:�� 2��i�.0 J,)CC���'��S DATE: r�/���i� <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 /> 5 <br />