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, ' f <br /> Total Fee: $ � �/.��� Date Received: � �- ° ' <br /> Entered By: _,�� Permit#: ,-/ �"' �� 3 <br /> CITY OF ORONO - BUILDING PERMIT 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 �,��'QNTRA�Tl,��-� <br /> JOB SITE ADDRESS: c�(p �� � �GO �" ,�� ZIP: �� <br /> NAME OF OWNER: g�(��v1 � �(,{�ij���G� ;S PHONE: (home) `�7/- �--��5�� <br /> —r� <br /> . (work) <br /> MAILING ADDRESS: � ,CITY: n � ZIP: <br /> CONTRACTOR: - / ;Zu�� ' L, PHONE: ��-�y`j� <br /> CONTACT PERSON: zo.c� � t�; MOBILE/PAGER: oZ� � �- a �{..3 L <br /> MAILING ADDRESS: �/�S' • S� ✓�.. CITY: /� ZIP: � � <br /> STATE LICENSE: #�(�`�"7� <br /> ARCHI'TECTlENGINEER: /�d�z� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE; REGISTRATION�t <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ' i� ��n �3 (; ' � <br /> �ac7��ect..5�° ;�ns / rt��� .5� or Cew�,� ' �..l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /, �D� � <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ` / DATE: <br /> — � <br /> NOTE! Parade of Homes events requi e separate permit approval by Police Deparlment and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />