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� Total Fee: $ � ��� � � Date Receiv�: ��%�'� i�<- <br /> Entered By: � Permit#: ��� 7 �' <br /> , <br /> CIT` 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 OR GONTRAC'I`@R <br /> ---- <br /> � .� � - <br /> JOB SITE ADDRESS: �,(*; � � �� �� i r�.�_�' �:�IP: � <br /> NAME OF OWNER: C,E: �,�c c, F= 1�C�-��. S PHONE: (home) �� �{ �- �� ( � <br /> R (work) �,:� t '> `f t r� <br /> MAILING ADDRESS: �:�� �-� � ��, ,�� � ��-��'�ITY: ; f�,,�.-,-.,--.-� ' t,�ZIP:�� <br /> � <br /> CONTRACTOR: �t-�c�•.,��s� ��- �:�-�"��v ��-"���r(',.� PHONE: ��� ' � � � �— <br /> CONTACT PERSON: MOBILE/PAGER: _ <br /> MAILING ADDRESS:�7�-.-'�C� �� i u�.r :z�_ < <. CITY: �.c�-�r�e cI ZIP: S S Y�*� <br /> STATE LICENSE: # G�C,' l ��7 <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�: h,��,{ �- ,; �� ,a:� ���� � .� � <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 /> � <br /> APPLICANT'S SIGNATURE: t b��� �1 ��=� DATE: - I . '� <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />