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Total Fee: $ �p3.�/ Date Received: <br /> Entered By: �,E� Permit#: �p �`f <br /> CITY OF ORONO - BUILDING PERNIIT 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 /> 7 <br /> JOB SITE ADDRESS: � L 1 � ��%�- �i S ��� � � ZIP: �_5 5`�`L' <br /> ._.�- — <br /> NAME OF OWNER: Ja�L 5 `� �����P i V� � � � � PHONE• (home) `�`��l- K��G <br /> � (work) ���;� - �cj�( <br /> MAILING ADDRESS: ��-l ( �� `i S r�� � , <br /> CITY: ��v.� � ZIP: 5S_'�;� <br /> CONTRACTOR: ��g�-� C� �l �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: f�I f�=��"�� '�`"t � PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�• <br /> 1z'x � z �-���� c-� SCz � � <br /> �-J ��{- �-� Co ��C'!'�-�-� �lc� � 12 X � 6 � ��+� -�� ,� w_al Sk.��;y z J <br /> STORIES: �_ _ SQ. FEET OF EACH�LOOR: � �y <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,. �� �� ._ G �\ <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 ith the ordinances and codes of the City and with <br /> the State Building Code; that I understand th' s not a permit d work is not to start without a <br /> permit; and that the work will be in corda with the o ed plan. <br /> � ��- Zl- �t �' <br /> APPLICANT'S SIGNATURE: - �, DATE: <br /> 1 � <br /> NOTE! Parade of Homes events e ire separate permit approval by Police Department �nd <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> , 5 <br />