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Total Fee: $ Date Received: �J—"� 'L C <br /> Entered By: �%�;i Permit#: f��>_��/.����, <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 CONTRACTOR <br /> JOB SITE ADDRESS: � �� � G f��U� G����� IC�Y� ZIP: 5 ��� � <br /> NAME OF OWNER: ���v j,.� /�I�'�"J��l-l� �-' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �����'r��i CITY: �,���7'{� ZIP: 5'S' � <br /> CONTRACTOR: �Yl �1{� ,/��rt�1,�r� PHONE: 3zC� "'i-�'L �c�'��--- <br /> CONTACT PERSON: �'!1t'J��- /=��J�.� MOBILE/PAGER: <br /> MAILING ADDRESS: ���; ) C� � H `�t1J CITY: Gv ���T�� ZIP: ,j� �- I <br /> STATE LICENSE: # ZC;C;ci��)k'x <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detain: lj'��C�c�� ��C�(,�q�� _ <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> c��� <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��� v <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: �1�►'�,0,�1 /�� DATE: �7 U t� <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 />