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• ' � ► �r � ����O�S 5 l� J � <br /> ,L Tqtal Fee: $ `� � �. Date Received: �/-� <br /> '' Entered By: \ Pemut#: � <br /> , <br /> �� CITY OF ORONO - BUII. ING PERMIT 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 CONTRACTOR � <br /> JOB SITE ADDRESS: 3 o�oZO [�C��l�w� �a r w� �/JN.: ZIP:_ <br /> NAME OF OWNER: �/�,� ,Q„o,���� PHONE: (home) <br /> .. (work) <br /> MAILING ADDI2FSS: CITY: ZIP: <br /> CO\TT'RACTOR: M1C1�/�c� 1�,a�c� I-��,�c PHONE:_ 9SZ '�`� S-`13�+�) <br /> COti�ACT PERSON: MOBILE/PAGER: �i 52 � �7.�'- �i 3�i�l <br /> M.AII�ING ADDRESS: 6�9� �`�w M�i e (9�r, CITY: gl��Z.. ZIP: ,S'.�'y + <br /> STATE LICENSE: # � /G 3 <br /> ARCATTECT/ENGINEER: PHONE: <br /> MAII�ING ADDRFSS: CITY: ZIP: <br /> NA:'�IE; REGISTRATION# <br /> �� <br /> TYPE OF WORK: New Addition J� Gl �icture �_ <br /> Move Remodel/Alteration y �� y� +.ion <br /> � �1 yy��' �,�Z <br /> PROPOSED WORK(describe an detaan: � ,��r ��- Q /�, �'y <br /> , L �.= ,�. <br /> y� �,- <br /> e <br /> STORIES: SQ.FEET OF EACH�. � S`'� <br /> 1�T0. OF BEDROOMS: • � GARA,GE STALL DET. <br /> EST'�IATED CONSTRUCTION VALUATION(excludiug 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 wi1I be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: G�� DATE: � /�, � <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />