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. .� <br /> '� ' �� <br /> T'otal Fee: $ �y � � � ,�� Z� Date Received: ; � ��L J D 7 <br /> Entered By: !�-� ��'`' Permit#: }-} JO 8'a 1 <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 infonnation) <br /> ------------------------------------------------------------------------------�..-� --------------------------- <br /> THE APPLICANr IS: (circle one) OWNER O CONTRACTOR <br /> __-= <br /> JOB SITE ADDRESS: �7�����(' ('� ( 1 n�. � �`� ZIP: �� <br /> NAME OF OWNER: �G{L�{f`1 �' �'��f'Yt f C�2 i �%� PHONE: (home) �So� ���/'- 7T 7/` <br /> , ��I (work) - ��; <br /> MAILING ADDRESS: ���,� �CI�L� ►i1�'J�l'�-CITY: �� ZIP: <br /> �— / <br /> CONTRACTOR: _ �'1"�� 1� �i'1 C Ii:ZS����.f�. . PHONE: �� ��e`jI�I�(� <br /> CONTACTPERSON: �L� � � ►� M4BILE AGER: <br /> MAILING ADDRESS: ' �` ' �C�Y�l� ,��► �'h ZIP: S// <br /> STATE LICENSE: # � C - �(� �( � <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 /> / x ,� i � � � <br /> PROPOSED WORK(describe in detain: �(� � y 5 V! /� �LL T�l . <br /> . r �� <br /> STORIES: ' SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> tX? <br /> ESTIl�ZATED CONSTRUCTION VALUATION (excluding land): $ ��, ��7 <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 ith the approved plan. ' <br /> r, , <br /> c ; <br /> APPLICANT'S SIGNATUIZE: DAT`E: ?j � <br /> NOTE! ,Parade of Homes eve�its r quire sep rate permit approval by Police Department and <br /> City Cottnci160 days prior to the event. Non perniitted events will not be allotit�ed. <br /> � <br />