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. <br /> Total Fee: $ ����C( � � Date Received: ��t` � I � / <br /> Entered By: j 4r) Permit#: / / ��. /C:.`� <br /> � <br /> �� �"���� `'�`'r '— I`� � �" � <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��l �� 2 ZIP: � S � / <br /> NAME OF OWNER: w 1 I [�ZTI�. �S��.�/'c.�P PHONE: (home) �52 - �7�2= 7102� <br /> (work) <br /> MAILING ADDRESS: ��Q, p� ��CITY: ZII� <br /> � <br /> �rc1Y10 <br /> CONTRACTOR: �� � G7b PHONE:_ q ��_ �i�y- ��21 <br /> CONTACT PERSON: (� • MO ILE/PAGER:��2 . g�s d . p(oG� <br /> MAILING ADDRESS: �3 � 02^ ` S•fi/'-G�'�' CITY: ��c.P�Si cn ZIP: � <br /> STATE LICENSE: # '(�(� _ �p3� g�7 � <br /> ARCffiTECT/ENGINEER: �HONE: <br /> MAILING ADDRESS: ZIP: <br /> NANIE: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: � /aC-e <br /> �� _ . <br /> STORIES: e�-- SQ. FEET OF EACH FLOOR: ��,�,� �/�jJ !'e dK�� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET. �—� .�-� OD O <br /> / <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� _ � <br /> I hereby apply for a building pernut 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 wi the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: `�ppy <br /> NOTE! Parade of Homes events require separate permit approval by Police Depa ent and <br /> Ciry Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />