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� <br /> 'Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT A7PPLICATION <br /> A.11 information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) Oti�NER OR CONTRACTOR <br /> /� �- <br /> JOB SITE ADDRESS: ��C� 3 �`��5 ' � ( � f � � ZIP: , � � <br /> ; <br /> � <br /> NA.ME OF O��NER: -��: I j��} ��..� PHOivE: (home)� �O� ��� �� � <br /> (work) <br /> MAILING ADDRESS: �G y,� ��� ��'l,� r CIfiY: �',;x�G�/L` ZIP: <br /> , <br /> C0�ITRACTOR: � I �C� C���� PHOivE: �I�L' �:..��C�i <br /> CONTACT PERS Oi : � C �!L L r C c� ' MOBILE/PAGER: �U /, ���i � <br /> MAILPTG ADDRESS: � .� .���i r2 L�� CITY: ��� L' � ZIP: ��'" " � <br /> STATE LICENSE: # �,,tr)G�� 7� <br /> A.RCHIT'ECT/ENGINEER: �' `��'� PH0�1E: <br /> ;VIAILTi�1G ADDRESS: CITY: ZIP: <br /> N�,�; REGISTRA.TI01�T# <br /> � �� �'� -� �--�\ � �� <br /> �� � � � <br /> TYPE OF ti�ORK: New Addition Accessory Structure <br /> Move � Remodel/Alteration Land Alteration <br /> PROPOSE tiVORK (describe in detain: ' � � � ��'G � � <br /> �- ,. <br /> _ � c .� r-:— r+ <br /> STORIES: SQ. F'EET OF EACH F'LOOR: � <br /> NO. OF BEDROOI�IS: GARA.GE STALLS: ATT. DET. �_ <br /> , <br /> EST .ni IATED CONSTRUCTION VALUATION (exclud.ing land): $ [/�� <br /> I hereby apply for a building pemut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance wi the ordinan �and codes of the Ciry and with <br /> the State Buildin� Code; that I understand �s ' not a d work is not to start without a <br /> pemut; and that the work will be ' ce wi proved plan. <br /> APPLICAI�iT'S SIGNAT'URE• <br /> : c- ,� � � � �� <br /> � , <br /> NOTE! arade FI m ��ents r quire separate perntit approval by Police Deparlment and <br /> City Council 60 days p ,o�/to the event. Non permitted events wi11 not be allowed. <br />