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` Total Fee: $ � C~ ����� �I Date Received: 3 � `�% <br /> Entered By: � Pernut#: ,� v2 � <br /> CIT'Y OF ORONO - BUII,DING PERMIT APPLICATION = <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> ------------------------------------------------------------------------------------------------------------------- <br /> THE A.PPLICAI\TT' IS: (circle one) �-"`�OWNER,�R CONTR.ACTOR <br /> �.___�_... <br /> JOB SITE ADDRESS: ...���15 �i�5��� l ,A�'(`(� ZIP: ,5 S��l� <br /> �-v��7����9� ✓�'I�1 - <br /> NAME OF O`V�TER: ' � ` � f��r�� y 7riJS� PHONE: (home) /�Z-��/-�S�C� <br /> � (work) i„�_y71--f�''S��_ <br /> MAILING ADDRESS:.���15 j°C�'S(`C% �I E�G'��` CITY:L�:'l-}�Zf"�fi'7 ZIP: S S:3�` <br /> CONTRACTOR: P�-I0�1E: <br /> CONTACT PERSON: NIOBILE/PAGER: <br /> MAILI��1G ADDRESS: CITY: ZIP: <br /> STATE LICEl\TSE: # <br /> ARCHITECT/ENGINEER:.;��-•:-��� :� ° . . 7._ . PHOiVE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Np�y�; REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED`VORK(describe in detain: /i��,,s�,/�i� /�U��f �-�OZ``S�-- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _ <br /> VALUATION excludina land : $ ' � �� � �� t� <br /> ESTIMATE) C�NSTRUCTI�N ( � ) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that L�e 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 /> A.PPLICANT'S SIGNATURE: �',�i---- '�w.�_,-._,�5�--.___ 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 />