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' Total Fee: $�j,�-ir Date Received: <br /> Entered By: ��. Permit#: /r 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 /> --------------------------------------------------------:-----�----------------------------------------------------- <br /> . <br /> THE APPLICANT IS: (circle one) �OWNER,.�OR CONTRACTOR <br /> n I � ti� <br /> JOB SITE ADDRESS: � �� ,l�f � -� 3��n� `�t� 5 � ZIP: <br /> NAME OF OWNER: ��c:,��r� � 1 �,�so�.S rxo�: (home) g j r—�:� 6 0 <br /> , <br /> (work) t�S��.—21.'��' <br /> MAILING ADDRESS: y�����s�� �t CITY: �,(�r,r�/nvA�•'t ZIP: S 3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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 detai�: �r„f,z/ ��cK <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��l/�j�- <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: � ���'bZw' DATE: `�%'G�� <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 />