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ti <br /> . � <br /> , Total Fee: $ j ? /����' Date Received: ��7/�',� <br /> Entered By: Permit#: /J��-� <br /> CI'I'Y 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: -a C> /� ��/SS�X /r o,a d� ZIP• <br /> Cf�'� ' �' %%�1�. , <br /> NAME OF OWNER: �,:��� '� ����`�,_ PHONE: (home) G�� O� �i�' <br /> - (work) � �� ���=a — <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��i���f� ��� %i'L" PHONE: ,��y /��'�� �S� <br /> CONTACTPERSON: j�%��,�'y �F,F'���zy�IVIOBILE/PAGER: �j�:- �!��� <br /> MAILING ADDRESS: ��1 l%L/�`F ?�CITY: ��s�%/��' ZIP:./,'=S�5,7 <br /> , <br /> STATE LICENSE: # ,_---- <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: ISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,- � , � i�',! � - <br /> �r�, ,k" y� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> a��. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 3 , � Sr3U <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 pian. <br /> APPLICANT'S SIGNATURE: ,� � .�! '!�,d � _ DATE: ="���' � �'� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />