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, , - � "J <br /> �' �'� � ' � ��-; Date Received: _ �C'� — �— <� / <br /> Total Fee: $ `� , � <br /> Entered By: -� (,� �,�;i � Permit#: �f � `/'/�' <br /> �, ���: <br /> �'��. �i_ � � <br /> � � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � .., <br /> � All information must be submitted in full before plan review will be started. <br /> � ' `' (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: o�/��.� � - ZIP: _�J`"-���f�'j <br /> �,�e��� . <br /> NAME OF OWNER: � � �jU PHONE: (home)/.�/a7 f1/�,�1/ <br /> work) � <br /> MAILING ADDRESS:��� /�� � �,�J, CITY: ( S ZIP:_�vz'✓a� <br /> � ��� H <br /> /CG¢�f0�'"�`t-, n, � <br /> co�'TRACTOR: Pxo�: 9�� ��/ ��'� <br /> CONTACT PERS N: MOBILE/PAGER: (�/�� �/Q ,�//J <br /> MAILING ADDRESS. �/'E �� �j�� �/Wv //o/� �� CITY: �P�v ZIP: .�;7 <br /> STATE LICENSE: # ,��Q,�„z <br /> ARCIIITECT/ENGINEER: ��L�6/I� �jM� ,�%�ySPHONE: ��,�/ �7����j� <br /> MAILI\G ADDRESS: %f�✓6/ G��F,�i/L-�,q�a'L� /''L CITY: W�GOBUi2 i/ZIP: ,�j'-'�/�,7%-- <br /> NAME; �'�},vj�;S' ��,�$��/ REGISTRATION# <br /> TYPE OF WORK: New ✓ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PRO OSED WORK (describe in detai�: ����i�i.L�:�� //�,����'`7�C����� <br /> �oCY�' <br /> STORIES: � SQ. FEET OF EACH FLOOR: � ��g� „j��� <br /> NO. OF BEDROOMS:�.� �:r_.�� GARAGE STALLS: ATT. DET. <br /> ESTTiVIATED CONSTRUCTION VALUATION (excluding land): $ ��/���(��- <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 approved plan. <br /> � <br /> APPLICAl\TT'S SIGNATURE: �- '� ` �tC� DATE: /n�� / <br /> NOTE! Parade of Homes events er quire separate permit approval by Police Department a <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />