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Total Fee: � i�%j �,?� Date Received: %�- /G''- `�" <br /> Entered By: Permit#: D <br /> CITY OF ORONO - BUII.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------ - ------------------------- <br /> ,..��--�-- ---- - <br /> THE APPLICA.�'T IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: L�-�"� �I�t�D���Z f���. P--� z�: <br /> NANTE OF O`�NER: � . � `f Q V�� � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: Z�: <br /> CONTRACTOR: P�1,� �C�ql��'�=� PHO�tE: (� - � ZZ-- <br /> CONTACT PERSON: ���`(o�/� NiOBILE/PAGER: -� 3 <br /> MAILING ADDRESS: ?� � S CITY: �T- M�S�f�- ZIP:-�=��4- <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHONE: <br /> MAILIi\TG ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK (describe in detai�: � A�- �'1'� �p � �� <br /> —E�-o� (1� � ti ,� - '�, o <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTI�VIATED CONSTRUCTION VALUATION (excluding land): $� �7l'� <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 cordance with the approved plan. <br /> ? <br /> APPLICANT'S SIGNATURE: DATE: L Z- -/0 -�'/'S <br /> NOTE! Parade Q Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />