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f } <br /> ' Total Fee: $ Date Received: <br /> Entered By: Permit#: <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: %535— ,�c�.�n.'�3 �,�,�;*— �<<,, � �3 �- <br /> � ZIP: .S 5- � � <br /> NAME OF OWNER: �i��� ����' PHONE: (home) <br /> . (work) <br /> MAII.ING ADDRESS: ��3� l���u�;'3 /'��.w';CITY: cI f�f�nlli ZIP: .�5�'�i� <br /> CONTRACTOR: �/Gi�1r%t.� ;��LfE'L�-�`/I7F=r�,'�" PHONE: ����/� Dl�C}o <br /> CONTACT PERSON: rS 1 elL (;;¢rf�i,.f v�'J MOBILE/PAGER: �S�+ • y pr)Z. <br /> MAILING ADDRESS: l50 S , '�2��&:v�-�:/ CITY: W�����-- ZIP: S;; 3 / <br /> STATE LICENSE: # z Ge 3��Y Z�{ <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: NPw Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration x <br /> PROPOSED WORK(describe in detai�: ,q-��� s��2���c� ����yticc,+.2y' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /V � IOr <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 accorda ce wit he pproved plan. <br /> APPLICANT'S SIGNATURE: ��`� � 1�--- DATE: � / �CX2'i <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />