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� �.4 <br /> .Total Fee: $ Date Receiveci: <br /> ' Entered By: Permit#: _ <br /> CITY OF ORONO - BUILDING PERNIIT APPL][CATION <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) OWNE OR CONTRACTOR <br /> �_ � � <br /> JOB SITE ADDRESS: —�" - ,��%��,;: � t' I'�� ZIP: :-�' `� ��.�� <br /> NAME OF OWNER: ��j'�i�`�r' ` `-l��i(,� :�1��1C�i'��;% PHONE: (home) �i-� �' � Z( 7�1=�- <br /> (work)� . ' - `-t `'; ~ , . i -., <br /> , ,. <br /> MAILING ADDRESS: ��!'t"'.'`' CITY: �t�,z.. •..,�Fc� ZIP: � <br /> CONTRACTOR: I:r�`�'Y� PHONE: <br /> CO�TTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING 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 detai�: �'r la j('i ��. i��i���1��C1�i�(� �� ` � �.� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � � �� ��� <br /> I hereby apply for a building pern-ut 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 accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �i1�Lr(:L1, ��(�.�`��' DATE: ,.�-(;f;.f ��� (:'� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment art� <br /> Ciry Council 60 days prior to the event. Non perinitted events will not be allowed. <br /> 5 <br />