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Total Fee: $ l,/G %>Cc' �� Date Received: ���'��� <br /> Entered By: �'�, Permit#: �r cj,�;2., <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be svbmitted in full before plan review will be started. <br /> (please print all information) <br /> • ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �'��S /,�Q��i'5,�� ZIP: <br /> NAME OF OWNER: �� �.Q �Z�1l �i9vi! � ' PHONE: (home)� - 7�c'j7 <br /> (work) <br /> MAILING ADDRESS: �'� CITY: ZIP: <br /> CONTRACTOR: ��' �uv"i L� � ,v PHONE: 7S L� '�� 7�0 <br /> CONTACT PERSON: ' MOBILE/PAGER: �{- <br /> MAILINGADDRESS: ��!���/�,5" c�/ s�i�}v�� CITY: � z ZIP: �y�� <br /> STATE LICENSE: #t�D t? l�� ��'��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII,ING 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 deta'n: . t -1 s. � <br /> :,r � ` �� � <br /> , ,� � <br /> iK;t�l���� L-�j�r�.y �s _s��e �s aw��- ���;1. <br /> STORIES: SQ. FEET OF EACH�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> r� <br /> ESTNi IATED CONSTRUCTION VALUATION (excluding land): $ �� t�.��� � _ <br /> I hereby apply for a building pernut 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 Ciry and with <br /> the State Building Code; that I understand this is not a pemiit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATLTRE� 4 �� � _��� DATE: C�f' _�!� <br /> — � � <br /> NOTE! Parade o�Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />