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� <br /> � � .� � ' <br /> Total Fee: $ � � � � Date Received: � (i ;�5`� � <br /> Entered By: �x I '��� / �� Permit#: �' �' <br /> CITY OF ORONO - BUII..DING 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 OR CONTRACTO� <br /> JOB SITE ADDRESS: � /C�' �� •1� �. �'�� ZIP: Lj.Sj(,� <br /> NAI�fE OF OWNER: <br /> C�e I )(.� � PHONE: (home)�7/����� <br /> /� (work) <br /> MAILING ADDRESS: `�/U P�'� 0 � CITY:l,�i��rc� ZIP:,�"`S3E> ` <br /> 763 <br /> CO\�RACTOR: I , �, ��Q�Sc,�-'� �n St � PHONE:��,_���� <br /> COti�TACT PERSON:1� r� ��.^ 1VIOBILE/PAGE�:E��- -��� ����� <br /> NLAII.ING ADDRESS: Z�/ t;, ,.r C, � CITY: -��b,:� c � ZIP:��2 <br /> ST�,TE LICENSE: # 3`�3�Z <br /> ARCHITECTlENGINEER: PHONE: <br /> MAILI�i 1G ADDRESS: CITY: Z�: <br /> �,T���; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��.,��;�� �- 5���S <br /> STORIES: �� SQ. FEET OF EACH F'LOOR: <br /> 1\'O. OF BEDROOviS: � GARAGE STALLS: ATT. DET. <br /> -'� <br /> EST�IATED 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wi�be in accordance with the approved plan. <br /> APPLTCANT'S SIGNATURE•�.�.�' �..�--�- DATE: `� 7`�-� <br /> NOTE! Parade of 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 /> 5 <br />