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� ��.. i._ �/�t lG' �' <br /> Total'Fee: $ �� � Date Received: <br /> Entered By: Permit#: AQ ��y� <br /> /���"l'�� ��/�4'�l'=� —�-. <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) OWNE R CONTRACTOR <br /> � ? <br /> JOB SITE ADDRESS: �/a �i c, ....�S '� ca..� � ZIP: - <br /> NAME OF OWNER: 1,J, l��a,,,�. 3 `/��G��(� PHONE: (home) q S.Z 13�6�1 ?3 <br /> (work) q S�� �' Ho/ - t z�3 <br /> MAILINGADDRESS: JS�,��{ ��SSex ,� r-- CITY: �j;n�-�onk�. ZI�'� 5.�34 5 <br /> CONTRACTOR: �e he� h.o PHONE: �S( 7 3 S– 7�33 <br /> CONTACT PERSON: MOBILE/PAGE : <br /> MAILING ADDRESS: 81 Z N Va��0.l�4- �t'�.3 CITY:�$-� •c�� ZIP: S SI I <br /> STATE LICENSE: # <br /> ARCffiTECT/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�: ,(,.�."�C.� i i x�,y � �,-�.� �„�� u�e�,,�l <br /> � ..,�,,.d a.�.,, <br /> STORIES: f SQ. FEET OF EACH FLOOR: oZ O O <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,35�0• <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 a cordance it the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: g�oZ? �d o2 <br /> NOTE! Parade of Homes events require se ara e 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 />