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� <br /> Total Fee: $ ���� ' Date Received: <br /> �Entered By: Permit#: / � �j�'j <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 R CONTRACTOR <br /> JOB SITE ADDRESS: ��¢t? �,�y'S•ip.� {C d?� ZIP: S S"„3s� <br /> NAME OF O`VNER: �, � �����i,9,�� PHONE: (home) �/�- �73 ���O <br /> (work) 5,��-.��� <br /> MAILING ADDRESS: �3 �� .�.r�✓s'i��r�+� CITY: C-�,����. ZIP: �S3s� <br /> CONTRACTOR: PHONE: ��3 -�,�,�e� <br /> CONTACT PERSON: MOBILE/PAGER: -- <br /> MAILTi�'G ADDRESS: ,��j „l�.T���,� /�b CITY: F-i ,�'.�;;�� ZIP: �- . �- <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHO�TE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> 11�ove Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detain: �� b.�s��z.�,�;,-- �� �,d,2 <'.�,.,9-rr�-c,� <br /> ��.:��.�;i%�- i l�=c� /"n�` i��i,�-v /� /`�1'��' ��7`G ���.�v� <br /> STORIES: � � , -rr1� SQ. FEET OF EACH FLOOR: G/'�'� �s, �, ,m . �.g:.�',d�ic <br /> NO. OF BEDROO�IS: �Z GARAGE STALLS: ATT. DET. � __ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1.���c� �'�-' <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 with the approved plan. <br /> ., > <br /> � <br /> APPLICANT'S SIGNATURE: �'� DATE: � -��/— 9� <br /> ,� <br /> NOTE! Parade o�Homes events require separ e permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitied events will not be allowed. <br /> 5 <br />