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Total Fee: $ Z 7�- d d Date Received: <br /> Entered By: Permit#: ���/ <br /> �� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � L7 �(� ��1 n s P� ►�C� ZIP: S`S -� � � <br /> NAME OF OWNER _ � r ,s� ���-��`J, ��� ,'�'�� n PHONE: (home)y7�� v�l C� <br /> Gf (work) <br /> NIAILING ADDRESS: ����7(� ��� �j n s ��'�1 GI� CITY: ZIP: S-�3�� <br /> G������G `��G�Z� <br /> CONTRACTOR: �" -P, /�✓� � �/ �/l���� - PHONE: ����Z �-\Z-� <br /> CONTACT PERSON: ,� ' i OBIL P��t:��-g- �'��v� <br /> MAILING ADDRESS: d " - - �— CITY: � �,,,� �,� o..,� ZIP: �`� b <br /> STATE LICENSE: # �7,�_ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAlVIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK (describe in detai�: 2 �,� � ,� ' e � �w , � ��� <br /> � �j <br /> ,`,y-.r �� / a, .� - ',-�• ,l � _ , .,,,� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � �, <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (eYcluding land): �c� � <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 ac ance ' the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �� <br /> NOTE! Parade o,�Homes eve require se arate permit approval by Poli e De artment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />