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Total Fee: $ 9��,. •�`� Date Received: y��- � � <br /> Entered By: ��/, Permit#: �%ti���� - <br /> .. — <br /> CITY OF ORONO - BUILDING PE T APPLICATION <br /> All information must be submitted in full bef re plan review will be started. <br /> (please print all info tion) <br /> --------------------------------------------------------------------- ------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � l� ,� 'Si/� i� ZIP: <br /> NAME OF OWNER: N/ ,��/) '' ' �9� ,2�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: S,/�ry7�= ,�}J :q��Iv� ITY: ZIP: <br /> CONTRACTOR: �� � f}I= � � �:t PHONE: �7� —G�-3`.� <br /> CONTACT PERSON: �3 p� MO ILE/PAGER: <br /> MAILING ADDRESS: %�G�S� ���"Gf��� �/. CITY: .Sff�1,�u'�oc:i ZIP: $5 '��� <br /> STATE LICENSE: # FY�l� <br /> ARCHITECT/ENGINEER: .�> �,�"fJ PHONE: `���'' ��S L, <br /> MAILING ADDRESS: � CITY: ZIP: <br /> rJAME; GISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: f SQ.FEET OF EACH OR ��,� v <br /> NO. OF BEDROOMS: � GARAGE STAL S: ATT. ._-- DET. — <br /> ESTIMATED CONSTRUCTION VALUATION (exc uding land): $ �r D O�� <br /> I hereby apply for a building pernut and I acknowledge at the information above is complete and <br /> accurate; that the work will be in conformance with the rdinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a ermit and work is not to start without a <br /> permit; and that the work will be in accordance with e approved plan. <br /> � _ <br /> APPLICANT'S SIGNATURE: DATE: ��,.I'� � <br /> NOTE! Parade Qf Homes events require separate pe it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitt d events will not be allowed. <br /> 9 <br />