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� • /� <br /> ' � <br /> � 'I'otal Fee: $ � I � ' Date Received: <br /> Entered By: Permit#: �';�� <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) OWNER OR�CONTRACTOR <br /> JOB SITE ADDRESS: �j �.3� t��,�S t�i' L.ANb ZIP: SS3�1I <br /> '1�?�J <br /> NAME OF OWNER: ���,;�� ����y6� PHONE: (home) yl I � &� <br /> (work) y�t �- ���3 <br /> MAILING ADDRESS: 3a3G (?�K,,s �T•, (,-�,vd CITY: �,;A.�z,7r� ZIP: s53��! <br /> CONTRACTOR: , ',�rz,�,.�.,�5 �',�T`�~'�-"���� �� �, PHONE: 1-i��-S�It�^ <br /> CONTACT PERSON: c�.� � MOBILE/PAGER:��k,�, -�.�F� <br /> MAILINGADDRESS: � (2�' � CITY: y��,;�.e,f ZIP: � b� <br /> STATE LICENSE: # 36��- <br /> P <br /> ARCHITECT/ENGINEER:�HE, C;,��,,-r��p�t3(�',wt,��PHONE: �1�.'S�t � <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�: jZ�-,r,o���, 6��5'T,�� 2�^��y dbc.1� <br /> 1 �Z�'C�.;ac-1 �+v� E�f.i S'i�tvv �.�C�26E•� �pE'1U.i `� TO C�D(a S}'�2,�L.''l.L2Al�.a� <br /> STORIES: �.. SQ. FEET OF EACH FLOOR: �-z�,' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �oCt`�� <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: ��n,,,, ��`,�,,�.�, DATE: �.g- '�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 />