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Total Fee: $ ��'�1. $� Date Received: �p- �-��� <br /> ' Entered By: _�� _ Permit#: /�/�3� <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 /> THE APPLICANT IS: (circle one) OWNE�3. R CONTRACTOR <br /> �___.�-� <br /> JOB SITE ADDRESS: .✓��� �J� c� �S ��r�ri� ZIP: <br /> NAME OF OWNER: �t c h�t-� �� I ci?YJ Q�i 5 PHONE: (home) �S 3%�7�[,o <br /> (work) �3 2 -3%��o <br /> MAILLIIG ADDRESS: �`-l�'�I (�/�� � =�SJ CITY: 13ioo��n�,��,,, ZIP:�S�.3 7 <br /> � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILI�i 1G ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WOItK: New _� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��� � � Z S�Q Y��'ic S �tvC <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � npp�Qo <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 pernut and work is not to start without a <br /> permit; and that the work will be in accordance with't� approved plan. <br /> „ <br /> APPLICANT'S SIGNATURE: i "tI-(� " '�✓ DAT'E: �;� '�l� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />