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, r' <br /> ' Total Fee: $ -"�� ��• � � Date Received: � <br /> Entered By: � Pern-ut#: '>{- `%'> �/ <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 /> � ----------------------------------------------------------------------------------...._.._�------------------------ <br /> THE APPLICANT IS: (circle one) OWNER QR CONTRACTOR-= <br /> JOB SITE ADDRESS• ---,' -S G�% �i s���c, ���'�����' ZIP: ����5' �-� / <br /> �� �i� � ,/c�G��",P <br /> ��, � / � -; - / 5' <br /> NAME OF OWNER: �i'��5.�'-�� PHONE: (home) "� ' � ' � , <br /> ; (work) <br /> MAII.ING ADDRESS: .�-�z'-�' `", �1a ��cl`�; CITY: r��C��-f�� .�-� ZIP: i;-r ��� �i <br /> CONTRACTOR: �l ���� /�<.�`M"^�� ��' .��i r-�- ��r�����i-����- - PHONE: --��� �_�/if ri�_ <br /> CONTACT PERSON: � � v��� ��: `r� MOBILE/PAGER: �':!� �� � _ ����� <br /> MAILING ADDRESS: �' � `� ir��� � � �✓, CITY: ` ��.-�_!� ZIP: �-�---��; �= <br /> � =�y' /�`� c� // _ <br /> STATE LICENSE: # �,�' _ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �JAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �— Land Alteration <br /> . � <br /> PROPOSED WORK(describe in detain:�F'- -��� ��` /�L�- ,f;e��-�- ����;��� <br /> .! �/,;; <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> r i ! :-,->'r- <br /> o✓ <br /> ESTIlVIATED 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 accor�ance with the approved plan. <br /> , �-' _ <br /> APPLICANT'S SIGNATURE: ��G�%� c � ��� "-' DATE: �t� '��` �' � <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />