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� <br /> Total Fee: $ /o z. �-� Date Received: <br /> , -Entered By: � Permit#: l� 3�� <br /> i <br /> CITY OF ORONO - BUII�DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all informat�on) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 . �, � � � <br /> �\-� _� �� �, : �c.!1 I \ �' ZIP: <br /> NAME OF OWNER: �0�� � y �`�Q� �c����r PHONE: (home -�- `.���� <br /> � (work) <br /> MAILING ADDRESS: �� �� ��c:�..� �,�,,���: crrY:�'x ; �s :� ! z�: <br /> CONT'RA.CTOR: �� � � C� : PHOivE: C�`� � �'`���3 <br /> COl�t'TACT PERSON: .� ;� � � � 1 - MOBILE/P�GER: <br /> NIAII�ING ADDRESS: . o Z�.���f� l, CTi'Y: �\����-,��v� ZIP:_,3 ; ' '-y 1 <br /> STATE LICEI�TSE: #;��. � �S '-�� —� <br /> A.RCHITECT/ENGINEER: PHO��: <br /> I�IA.ILi�i TG ADDRESS: CITY: ZIP: <br /> r,TA,ME; REGISTRATION# <br /> TYPE OF tiVOR�i: New Addition Accessory Structure <br /> Move � Remodel/Alteration Land Alteration <br /> �• �--, � � <br /> PROPOSED WORK(describe in detain: \�r� .�, C.� '� ?S ��-�=-�. ���.���. <br /> STORIES: SQ. FEET OF EACH FZ.00R: � <br /> NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET. <br /> � � _ <br /> ESTI�VIA'I'ED CONSTRUCTION VALUATION (exclud.ing land): $ � �G� �— <br /> I hereby apply for a buildino 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 BuildinJ 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 /> DATE:� - �-`��� <br /> APPLICANT'S SIGNATURE: � � �, �� ----_._ � <br /> NOTE! Parade of H'omes events require separate permit approval by Police Department and <br /> City Counci160 days przor to the event. Non permilted events wi11 not be allowed. <br />