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� Total Fee: $ �? `J�%'��'��� / Date Received: <br /> Entered By:,- , Permit#: r/ 1 9 � <br /> _ ` <br /> � <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 O CONTRACTOR� <br /> JOB SITE ADDRESS: ��i c% ��y`'-�%i�� iZ��. ZIP: �� 3 S� <br /> NA1�TE OF OWNER ���lti� ✓��G7l�l�c-� PHONE: (home) <br /> (work) <br /> MAILI�IG ADDRESS:��Si r? s��y_i i�C j�L-✓ CITY: [i��vo ZIP: _1���d <br /> � <br /> CONTRACTOR: �Gr�'r, �"�q,�� � ��,� PHONE: ���� (o�p 3�' <br /> CONTACT PERSON: ���� MOBILE/PAGER: s�� - ��'t � <br /> MAILING ADDRESS: Z'z �'�S /�ij�i�����G ,�.� CITY: S���PF��ivd Cl ZIP: S�5�� / <br /> STATE LICENSE: # �� �{� <br /> ARCHITECT/ENGINEER: -�✓�cr��'� ��'i�.,r. PHONE: <br /> MAILING ADDRESS: .�� � C��,Z s?- CITY: �,� ZIP: SS 3�/ <br /> NAME: �iL(,(!�-t-' REGISTRATION# <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: :1�i� L ffivi) /l�v /l��,:,f <br /> STORIES:,Z �''v�;,�;�,,c,� SQ. FEET OF EACH FLOOR: '�.t,lG:. F��->s �,a <br /> NO. OF BEDROOMS: _> GARAGE STALLS: ATT. ,�� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ _S 7�d��,:.> <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 /> APPLICAI�IT'S SIGNATURE: ��� 6`� DATE: %/.j/7� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />