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Total Fee: $ Date Received: <br /> Entered By: ,�,! . Permit#: �j�;C; r <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 /> ____ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> JOB SITE ADDRESS: ��'�� ��1 f� �j� ��� ZIP: ��' S %I <br /> NAME OF OWNER• ��;►�� �ts�S PHONE: (home) T�-��/� <br /> /� (work) <br /> MAILING ADDRESS: �c��S ��1�� !'� � CITY: C>�L ZIP: :s � �I � � <br /> CONTRACTOR: ��LSI�'-- PHONE:�y� - � �z 5 <br /> CONTACT PERSON: 7 v,� I2; �i` M�B�E/PAGER: <br /> MAILING ADDRESS: ,s�/S /l.>" �-�Y l c c CITY: it.{,�'� S ZIP: 5-5- �.� <br /> STATE LICENSE: # ��z�7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration 5� Land Alteration <br /> PROPOSED WORK(describe in detai�: �C�✓ ' lr � �e,'L� -��-b-�- �nl <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ^'� p u <br /> ESTIMATED 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��''� `%� �. DATE: ��-/S-�y_7 <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />