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1�►� <br /> Total Fee: $ �U�.��-�� Date Received: .��j�,/�,.Y <br /> Entered By: �� Permit#: ;��;,�� �' <br /> , <br /> . _ <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 /> T'HE APPLICANT IS: (circle one) OWNER O CONTRAC � <br /> �—_—, = <br /> JOB SITE ADDRESS: G��� �� ���- � � ZIP: j s � `�� <br /> �. �� f� <br /> NANIE OF OWNER: �`: v'^ ��" �"" ' '`�' ��� PHO�tE: (home) �� ��-"��7 7 <br /> (work) <br /> MAII.,II�TG A.DDRESS: CITY: ZIP: <br /> C0�1'I`RACTOR: ,Ic. `JJilti��� �� PHOivE: �"���—�'S � Z- <br /> CONTACTPERSON: -�-'--�� MOBILE/PAGER: <br /> MAILING ADDRESS: CITI': ZIP: <br /> STATE LICENSE: # /���C� <br /> ARCHITECT/ENGINEER: PHO��: <br /> MAILII�G A.DDRESS: CITY: ZIP: <br /> NAiI�: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ` -v� --� ' 4-<-��- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Lf, -•�' <br /> ��l <br /> EST�IA1'ED CONSTRUCTION VALUATION (excluding land): $ / ��'�' <br /> I hereby apply for a building pernzit 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 Buildin; Code; that I understand this is not a pernut and work is not to start without a <br /> permit; and that the work will be in accordance wi approved plan. <br /> � <br /> APPLICANT'S SIGNAT'URE: ''�- DATE: � /, � <br /> �� <br /> NOTE! Parade Qf Homes events require separate pe it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />