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muv-YL-luul ua:lupn rrun-6111 yr umvnv rr9ccvugQ1Q 1-110 e-uul/uu0 x410 <br /> Total Fee: $ <br /> Date Received• ©501 <br /> Entered Ey: Permit#: �,_ 8-oY <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted its Pull before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: f v •-._.l u 5 0 ,� -- ZIP: <br /> NAME OF OWNEYt: PHONE: (home) <br /> (work) <br /> MAIMG ADDRESS: 40 1 CITY: ZIP: <br /> CONTRACTOR: C� tz� S' -��' PHONE: 6k,-�s S"So -Cco� <br /> CONTACT PERSON: '4,2-t MOBILEIPAGER:(v I z G; - c k�/ <br /> MAILING,ADDRESS: CITY: 2e[y AA ZIP: <br /> STATE LICENSE: <br /> ARCHITECTIENGrINEER: PHONE: <br /> MAILING ADDRESS: CI'T'Y: ZIP: <br /> NAME: REGIS'T'RATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteradon Land Alteration <br /> PROPOSED'CORK(describe in detail): <br /> STORIES: SQ.FEET OF 1E;ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /2 'Z C c <br /> I hereby apply for a building l emit ald I atlmowledge that the information above it complete ind <br /> accurate, that the work will be in conformance with the ordit>auces 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 /> APPLICANT'S SIGNATURE:�```�� �� ` DATE: _ <br /> NOTE! E"de_gf HoMes events require separate permit approval by Police Department and <br /> Council 60 dqs prior to the event. Non permitted events will not be allowed. <br />