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Tatal Fee: $ ' a�a � Date Received: /l-�Y` �� Z- <br /> , Entered By: Permit#: ��; �;,��S <br /> � CITY OF ORONO - BUILDING PERMIT APPLICATIOleT <br /> C����� <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 CONT <br /> JOB SITE ADDRESS: ,3� Z ( � �Sc' � �-v ZIP: <br /> NAME OF OWNER• ���,, � .� ��T � ,�- PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �� Z ► �ih-�>r � /�-,,�� CITY: �%2 v:.,r v ZIP: <br /> , � <br /> CONTRACTOR: �.z,�.� �e�,��� �o,v s� PHONE: �J`:��� - `l�� - 7r.s� <br /> CONTACT PERSON: �z,� ,.� MOBILE/PAGER: f��z - �-7 Z - 7S� <br /> MAILING ADDRESS: /�7 v� r��e/5,�, �� �,.�� crrY: 1�Tl�,q- z�: ,55�'3�� <br /> STATE LICENSE: # � (2 O <br /> ARCHITECT/ENGINEER: ;�n,�,�,p;.,�/S � /�5 5�` L PHOl�TE: S�7� YS �(- �J y�?i <br /> MAILING ADDRESS: ���i v I ti y� y�„� 5��, CITY:/ / �-: �- ZIP: .S�S y 2� <br /> NAME: REGISTRATIO # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ��Sc ��,�-� �r � � S �- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $��; �D � <br /> � <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 Ciry 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 /> APPLICANT'S SIGNATURE: �,�.,� DATE: ��- �� —� v <br /> NOTE! P�arade o 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 />