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, <br /> • Total Fee: $ 3 Date Received: �'3-- c--�G <br /> Entered By: Permit#: ,/� � � 7��� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------------------------------------------------------r--�--------------------- <br /> THE APPLICANT IS: (circle c;�e) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3,,Z37 (°G�Scc� C( t-, 'vc�c��/2�, i�ZIP: �5 3c� � <br /> NAl�� OF OWNER: . �e j j /�j 1�cu�e� PHONE: (home) j-17 ( - 3 G�-/c� <br /> (work) <br /> MAILING ADDRESS: 3 a.3`7 �'c�5cc3 �� t- ; CITY: w4�zcZT� ZIP: S�S3�i/ <br /> CONTRACTOR: �7? /��►5 %y-� e r=`.• PHONE: G 7C� � �/FrG 5� <br /> CON'TACT PERSON: �� cT e 7�� MOBII..E/PAGER C'7O _.z,��G�f <br /> MAILING ADDRESS: j 3,�7 5 ��.s5 c�-t �! ,f a CITY: 1<oy e v�� ZIP: S�3 7 5� <br /> STATE LICENSE: # �'� S'� �— <br /> :�RCHITECT/ENGINEER: �G ,,� PHONE: <br /> �IAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: y- �,v�� � ^ <br /> �"'�` '"� � l.��It� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> c,�• <br /> ESTLI�IATED CONSTRUCTION VALUATION (excluding land): $ � Sc%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 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 /> APPLIC.�NT'S SIGNATLIZE: S`�,(� DATE: • � -z c,�v <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. <br /> 9 <br />