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. , <br /> Total Fee: $ � ' � � � '- ('� Date Received: � � �� �C �' �/ <br /> Entered By: � �' � � Permit#: ' � - �/ - C��� <br /> r � <br /> < i , �'�� � <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 O CONTRACTOR) <br /> JOB SITE ADDRESS: ���� l �t�J-��c� %t` ZIP: ' —�� <br /> NAlV� OF OWNER: ,�71°' Gf L`� �j1c'c�h�- '�-.- PHONE: (home) � � — f��7��- <br /> (work) <br /> MAILING ADDRESS: ��C�� �5�� �/�'�/ ��G�ITY: �r�c=rz�-c�— ZIP: <br /> CONTRACTOR: ` � kJC��h��'`� (�r. PHONE: ��7 I ��5 3 �� <br /> CONTACTPERSON: � l=l— MOBILE/PAGER: �'�.� 7/�d <br /> MAILING ADDRESS: `f`�l� ��e'��-c " --� CITY: �� � ZIP: � � <br /> STATE LICENSE: # /�f�� ��--��;r <br /> ARCffiTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition� Accessory Structure <br /> Move Remodel/Alteratio _� Land Alteration <br /> PROPOSE�jWORK� (descr' e i etai�: �kS7�tr ���-�`s-� 'i-� <br /> f 1��� r-�/G� /��� <br /> r� <br /> STORIES: _� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> r t� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/�,��C�:! <br /> I hereby apply for a building pernut 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 a cordance wi the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �r 2 z p <br /> NOTE! Parade o�Homes eve s require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />