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Total Fee: $ Date Received: 7- j/-(� <br /> � Et�tered By: �'`3�i' Permit#: �-�S�(05 "� � <br /> , CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � <br /> Ail 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 /> JOB SIT'E ADDRESS: �� � �0.r� ��� ��' '� ZIP: 5� _S`'� �- <br /> NA1�iE OF OWNER: ��f1 �--� z�o i c1 PHONE: (home) c�r z -�y 3- 1Z 33 <br /> (work) 9 s 2- 4`�7 - 36 5 3 <br /> MAILING ADDRESS: �-� 3'S ��'��`-' �r�^-� �� � CITY:q�L� ��� ZIP:S�-3`� '2- <br /> CO\'TRACTOR: �c� � ��-'����� C `'y',�� PHONE:q S� '��`� -3 I 3� <br /> CO`�TACT PERSON: �'e t�c 1VIOBILE/PAGER:�� 2-�I d - �" �`1 <br /> M.AII..ING ADDRESS: �� �" �'la,�,�.�� is���. CITY• )����:� �'��� Z1P• � s�3�') <br /> ST�TE LICENSE: # 5`i 6 '- <br /> ARCHITECT/ENGINEER: PH0�1E: <br /> MAII..I�i TG ADDRESS: CITY: ZIP: <br /> �J���; REGISTRATION# <br /> TYPE OF WORK: New Addition�_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: p�;��L{- �� � 1� (�a�IL �_��`�,2 y <br /> ;�v�,� �—ra�� •r.r��z �—1 — <br /> � <br /> STORIES: � SQ. FEET OF EACH FLOOR: I U��� <br /> NO. OF BEDROOMS: �--- � GARAGE STALLS: ATT. �_ DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ j`��� `' `' � <br /> I hereby apply for a building permit 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wiR be in accordance with the approved plan. <br /> „� <br /> � � � <br /> APPLICANT'S SIGNATURE• _�� DATE: � � �� <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 /> 5 <br />