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� � 1 . t_v � <br /> • Total Fee: $ �`^ Date Received: <br /> �Y/b -- G�� <br /> Entered By: �j,/�,� _, Permit#: �-0,5� �� <br /> �����5��� __I�j �- t�° � i i ������._ <br /> � �, CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ��� �� ��'� �% j�'��C����'L L=" ���'�/t IiUE'y� <br /> ,J � � ���' All information must be submitted in full before plan review will be started. <br /> I` ��y �J� C <br /> �, �l��r �� (please print all information) <br /> �,� ---------------------------------------------------------------------------------- <br /> ------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO� <br /> JOB SITE ADDRESS: I��I � ��'�,�'y� �� ZIP: �5 3 R I <br /> NAME OF OWNER: ���'� 1 � �{�� PHONE: qho e)���� �� � <br /> (work) <br /> MAILING ADDRESS: � 2.�( � S ��t,�� �� CITY: ZIP:��>5�`�/ <br /> CONTRACTOR: � � '( f(S�,1`� PHONE: -](p�-�-}7� ;�3�' <br /> CONTACT PERSON: j MOBILE/PAGER: �� -�(U- <br /> MAILING ADDRESS: 21� Q CITY: ZIP: ���� <br /> STATE LICENSE: # 2C�,�B�5 I <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 /> PROPOSED WORK(describe in detai�: �L�(,�C'� <br /> STORIES: _� SQ. FEET OF EACH FLOOR: �Q� � <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 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 /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �2�� DATE: (.,� lC1 �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />