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� � � <br /> . � � C� r <br /> , 'Total Fee: $ �j o�� � � � Date Received: <br /> Entered By: Permit#: � 0 ;�7 ,, <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) '�LOWN��R CONTRACTOR <br /> JOB SITE ADDRESS: ,� ��f7 �-�s�.��� �4�?�1-�� ZIP: >� ��-�C� <br /> NAME OF OWNER: (�'�-9!i �1 + �i S�( �L s�,�;' PHONE• (home) 1f a`� --/s���a <br /> (work) `�_",t � � � r + <br /> MAILING ADDRESS: 3%�� �-ys��/e �� CITY: �r�.� � ZIP: r .�3 S� <br /> CONTRACTOR: �/tc���t_i t�'IJ n�fi-u Gt���'r� PHONE: �' 7 d` -" L Z 2 3 <br /> CONTACT PERSON: � w��. Ge,�.� MOBILE/PAGER: <br /> MAILING ADDRESS: /j/ ��7 c'.�� � ,�f �.% CITY: �i�a� ..ti.:r�rP;- ZIP: s �-3 L J <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: !��r�;;' ;'{�.,,s�n PHONE: �'-��>...- ��. .� ,? <br /> MAILING ADDRESS: .���y.- ,�;%, �,�;,r_�.1�;,e;�: CITY: � i�:-..r ZIP: ��r� � � <br /> NAME: REGISTRATION# / i-�c�� <br /> TYPE OF WORK: New Addition v' Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ���; t���n ��, +�/ex�- �-�� �- ex% st,n� <br /> blcv :ne. <br /> STORIES: �- SQ. FEET OF EACH FLOOR: 1 i o� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. _ � DET. �-- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .��:�T7�1�� . <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 /> APPLICANT'S SIGNATURE: -���� DATE: ��/_�=9d� <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />