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� <br /> Total Fee: � $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> A.11 information must be submitted in full before plan re�iew will be started. <br /> (please print all information) . <br /> Trf� A.PPLICANT IS: (circle one) O��NER OR CONTRACTOR � <br /> JOB SITE A.DDRESS: � �c� �U��� �.��� ��� z�: SS-��� <br /> � NAME OF OWNER: /��F.I f%1'Z PIIOi�tE: (home) 7�j ' �0 7C� <br /> (work) <br /> MAII�ING ADDRESS: ��U � UPji,�.:,,t �.�CTTY: �rc�ti..v ZIP: �C� <br /> CO�t'I`RA.CTOR � v�.�. �- PHONE: 53-7�� C��� <br /> CO�I'ACT PERSO� : (.���,��,n �'�,,,^,�� MOBILE/PAGER: �1�t - /c�`7 7 <br /> MATLING ADDRESS: �G'l� �.��;;.5�,��.-,,o �14J�CITY: �,.���'-�-4 ZIP:�� <br /> STATE LICEI�TSE: # �c��a�r3� <br /> A1�CHITECT�ENGINEER: — PHO\TE: <br /> MAII�ING ADDRESS: --- CITY: ZIP: __._ <br /> T,*�,ME: �-- REGISTRA.TIOti'# --- <br /> TYPE OF tiVOR�i: New Addition Accessory Structure <br /> Move � Remodel/Alteration�_ Land Alteration <br /> PROPOSED`VORK(describe in detai�: K t&�p�t✓� I�.�� ���sc� <br /> STORIES: SQ.FEET OF EACH F`LOOR: ' <br /> NO. OF BEDROOMS: GARA.GE STALLS: ATT. DET. <br /> ESTlil�A1'ED CONSTRUCTION VALUATION (excluding land): $ _(, �c7O' � <br /> I hereby apply for a building pemnit 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 Buildin� Code; that I understand this is not a perm.it and work is not to start without a <br /> pemut; and that the work will be in a rdance �ith the approved plan. <br /> APPLICANT'S SIGNA�CTRE: DATE: ��/ � <br /> NOTE! �'arade o Flomes events require separate permit approval by Police Deparhnent and <br /> � City Counci160 days prior to the event. Non permitted events will not be allowed. <br />