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� � <br /> Total Fee: $ ,�� �`� � Date Received: <br /> Entered By: Permit#: j �); �� <br /> �; <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ����UGf l� Q%ll'�L,�/�t/ �,(J. ZIP: ,SS�Jr � <br /> NAME OF OWNER: LS�1 S ft: /� Lf/�-�SC-'t(/ PHO�TE: (home) � �.� �' GI/I.3 <br /> (work) <br /> MAII.ING ADDRESS: `3 Z..S S�ll�l 3l��r'�l ��� L�'"/� Lf�lct�t'�IP: SS.� <br /> CONTRACTOR: ��-C-� �,SNik C:c`-ef��c=.�/� PHONE: ��,1-//5--� <br /> C0�ITACT PERSON: /?c SS MOBII..E/PAGER: ��-,- - �3� � <br /> MAILINGA.DDRESS: 1 L°�''�ifi i..r,�')'Zi�d�ITY: If��IE, ZIP: SS� � �S� <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHONE: <br /> MAII,ING ADDRESS: CITY: Z�: <br /> NAME; REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: S r:✓�!1'�.�"J�� p� <br /> STORIES: SQ. �EET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ i�C��� G� <br /> I hereby apply for a building permit and I aclrnowledge 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 pemut 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 SIGNAT`iJRE: ;�-� — DATE: ✓r � <br /> NOTE! Parade of Flomes 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 />