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Total Fee: $ .2/S . y� Date Received: - � U-(�� <br /> Entered By: ���- Permit#: � y' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOl`+T <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 OR CONTRACTOR <br /> �,� .-_ � y �, <br /> JOB SITE ADDRESS: ' /<'? ,��-', j�j'c��c�/1 �/ ZIP: `> > � � <br /> NAME OF OWNER: � ���ic� (,�r c/����2�� �. PHONE: (home) ��z" �����'�� <br /> (work) <br /> MAILING ADDRESS: �D�� S0- �r���L>,� %(� CITY: l'/'�'it�� ZIP: �3 3 5'/ <br /> CONTRACTOR: .�"Y�IrItIQl4[� S���y �1�s�,�4r;o:t ���. PHONE• 76� ��/� i���� <br /> CONTACT PERSON:�J,S,V K�,�'ti v T v� MOBILE/PAGER: ��/d - �c/•- y y 7�0 <br /> MAILING ADDRESS: /����/ (�N��o�r Ur �✓� �� CITY: Cr=c�d.� ZIP: S S�'// <br /> STATE LICENSE: # �f/�� <br /> ARCHITECT/ENGINEER: PHO�TE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � �� /� <br /> P�OPOSED WORK(describe in detai�: � ��,�' %��'-��` �� <br /> cf£��/ -� .`/�%S C'Ic l�' .�ii�e CcxC//S L✓f"�� �,G>G S `f .��v�%� i_ �Y� c i�_T <br /> STORIES: 5Q. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ // ��' <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 City and with <br /> the State Building Code; that I understand this is not a permit 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 SIGNATURE,�,,,' 'z ' ��"�o DATE: �� 1 y'_ v� <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 />