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4 .r <br /> • Total Fee: $ (�;�• `{�_ Date Received: <br /> Entered By: �ff',� Pernut#: //l"7�� <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) W��OR CONTRACTOR <br /> JOB SITE ADDRESS: '� �'����' ` ' ��'` � �-�, c�C ZIP: �,��°� � <br /> NAME OF OWNER: �/,"���, i �'��,���� PHONE: (home) 7�,�c;�.-�S' s <br /> (work) ' - <br /> MAILING ADDRESS: `� 7 � � � � CITY: ; ;� ' ZIP: .�i����, <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition �f e� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK describe in detai �—'^ � �' 3� � <br /> ( �� �.�C i�l ,���-.�, �,,���7��,�;�`�t.r�-�. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,����� t�'`'��� <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 wit e approved plan. <br /> a <br /> , <br /> APPLICANT'S SIGNATURE: � ''C� ' � :� DATE: �-��� <br /> � <br /> NOTE! Parade of Homes events req'icire separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />