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, Total Fee: $ Date Received: <br /> Entered By: 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 /> THE APPLICANT IS: (circle one) OWNER OR ONTRACT <br /> JOB SITE ADDRESS: /�,� �vc� Cha�e /� ✓'-__ zrn: 5<5 3 �'1 J <br /> NAME OF OWNER: �rn �GlS1�/-�l1 PHONE: (home) �S o�- �l�3�3 7�� <br /> (w rk) <br /> MAILING ADDRESS: I ao C�'1�//1/(�1 C�G�/� l,��Y: ZIP:�_/ <br /> CONTRACTOR: eY-� � t���0�S PHONE: (a S I - �'S -�3�� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: � 7.5��0 / �Yl�ClL� �Y.CITY:��ZIP: S/ <br /> STATE LICENSE: # a�SS�oS�o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration I/� Land Alteration <br /> PROPOSED WORK(describe in detai�: �-���,CC � liU i Y2C�Q V� — <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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: J,����1,L��GCQ. (�GU?W� � !f��!�� _ <br /> � <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> q��a <br /> � ���b <br />