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� Total Fee: $ �$g���° Date Received: <br /> Entered By: Permit#: l��3� <br /> CITY OF ORONO - BUILDING PERMIT 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 /> JOB SITE ADDRESS: p�l/ y ,S�i_.'���r� /��L, Z�� <br /> NAME OF OWNER: „%�,�j��� , os-- PHONE: (home) y�S��64/ <br /> (work) y�� ?�4'/ <br /> MAILING ADDRESS: 71�d/ %�1.5�y� CITY: , /`�'l�,�I�cZIP: ✓�'� <br /> 'CONTRACTOR: ONE: y�� ^?�yd/ <br /> CONTACT PERSON: / MOBILE/PAGER: 7p'/ 7y/� <br /> MAILING ADDRESS: 7�'/ /y �� CITY:,�l�i���%,�y ZIP: ✓���7'�.y <br /> STATE LICENSE: # a ,� 7G � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: N�w � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �C!/�� 1��,�'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTI4N YALUATIQN (excluding land): $ ���:� ^ <br /> I hereby apply for a building permit and I acknowledge that the information above is cQmplete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the C,ity 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: ���'� �l� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />