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Total Fee: $ �r l ( , � � Date Received: - - a ('� <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDPtG PERI�IIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> 'I�� APPLICANT IS: (circle one) OWNER O CONTR.ACTOR^ <br /> JOB SITE ADDRESS: '�� � �v>5L�, L� ZIP: Gj���j C� <br /> NAME OF OWNER: � C�j PHO�TE(home) 7�-� <br /> ork) �J' r'J - �'- <br /> �IAILING ADDRESS: ��Co � �s1���. ���: � Z�: �� <br /> C0�ITRACTOR: �'o i C_� : PHOiVE: S�J��J <br /> CON'TACT PERSON: L MOBII.E/PAGER: - c <br /> 1�L�II.,ING ADDRESS: `` ' � CTTY: ZIP: - . <br /> STATE LICENSE: # ,�� a Q <br /> ARCHITECT/ENGPi tEER: � � Y� PHONE: ���"� �� (��� . <br /> � <br /> �IAILING A.DDRESS: CITY: ZIP: <br /> N�ti�: REGISTRATION# <br /> TYPE OF `VORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �� � ('j��, <br /> �' CO�� �' v��yr- - <br /> STORIES: SQ.FEET OF EACH FLOOR:�vc�L'�Pl�l���`-o�U�Q, � Y S'7�5 oZ <br /> NO. OF BEDRO I�IS: � GARAGE STALLS: ATT ' DET. <br /> � �_ <br /> � �;yr <br /> EST�IATED CONSTRUCTION VALUATION (excluding lan�; $ (��'�). �C� <br /> :t�� <br /> I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and <br /> accurate; tha[the work will be in conformance with the ordi.nances and codes of the City and with <br /> the State Buildi.ng Code; that I understand this is not a permit and work is not to start without a <br /> pemut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA'TURE: DATE: � •01� ^�(`� <br /> NOTE! Parade o,�'Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permilted events will not be allowed. <br />