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-� e <br /> Total Fee: $ /c��. / S DateReceived: //-/� -U� <br /> Entered By: �,Gtit-- Permit#: '�0���(p y� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOIeT <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 CONTRACTOR� <br /> JOB SITE ADDRESS: ��n �• �j,�"� c,�n Q�,c��ZIP: �53�5� <br /> NA1�iE OF OWNER: � �P Ci ir(�(�r U �S � PHONE: (home) �/ 7 3 '-�.5� �l <br /> (work) <br /> MAILING ADDRESS: ��'`J�'t� � CITY: ,(a"��O ZIP: S-� 5,�, <br /> CONTRACTOR: �-t�'��i,v^ �{�r��- PHONE: <br /> CONTACT PERSON: �'Ll �l r � BILE/PAGER: �� �,��- ��?�'�'�2S,S <br /> MAILING ADDRESS: `j �7��0 � -_,r �.� o� CITY: (� ZIP: SS%-�/ <br /> STATE LICENSE: # �p/SSS/> � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> ...�-�" <br /> PROPOSED WORK(describe in detai�: ���'C r�����j'��a� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�iS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %,��'� <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 Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIJRE: �7� DATE: i�- %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 permitted events will not be allowed. <br />