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Total Fee: $ ����,� � `�� Date Received: l� � <br /> Entered By: Permit#: j�{-�,;��j <br /> �ITY OF ORONO - BUILDING PERMIT APPLICATION <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 CONTRACT R <br /> . GC�=^o , ��7•z�.'Iz . <br /> JOB SITE ADDR�SS: ����.���� ���'���F_ � ��� �, � ZIP: �3S / <br /> NAME OF OWNER: � � �,�,� �-����.�� PHONE: (home) t-j�:� --13 Si <br /> (work) <br /> MAILING ADDRESS: zc��; � C�� k�- S 1' CITY: l-L�c � , _ZIP:��/ <br /> CONTRACTOR: � ��1��-- 1-�tj�•�s PHONE: �-{7 3 '.�3 S_ � <br /> CONTACT PERSON: i MOBILE/PAGER: '�;�-� � �:,��j_ <br /> MAILING ADDRESS: �7�fC� �r C.:.1��� S�-- CITY: w;. ���� lt ZIP: � ; <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /l.�� (Sr--�, �c-;< <��; PHONE: ��'� -3�5�-�/ <br /> I1�IAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New �C. Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: S���.l r {� ,. � 1,., h e.,�.� C•�.�.s�.. <br /> STORIES: � SQ. FEET OF EACH FLOOR: .��-�Ic- l G�)i L �-- �:� �S�.M n1 <br /> NO. OF BEDROOMS: 3 � GARAGE STALLS: ATT. � DET. - <br /> ESTIMATED CONSTRUCTI01�1 VALUATION (excluding land): $ 5�.�_ (��C �-- <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 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 ap roved plan. <br /> APPLICANT'S SIGNATURE: • ��-�t ' DATE: ('3 �► 4 I <br /> NOTE! Parade Qf 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 /> 9 <br />