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� <br /> • Total Fee: $ _�.S G � : `j G:> Date Received: i-/ �Y � `i 1 <br /> Entered By: ��;1".c! 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: ' / SC,� C�YL C'O���jG�S/�� Z�� <br /> r' 1 -- t <br /> NAME OF OWNER: �) Y ��( 6'1�� �1�Gl,I►rP�l. ��YS PHONE: (home) ��Ci --/,�;� <br /> (work) 5 S�- 1�7 U t3��� <br /> MAII.ING ADDRESS: �/L�l���S CITY: �' �„�s�o.,� ZIP: S.S 3! <br /> CONTRACTOR: ��,J (�� C�� �T T� C _ PHONE: �3 Z -� I �{� <br /> CONTACT PERSON: � ��,,� C,tZZ��� P+�IOBILE/PAGER: ,��4--5y��' <br /> MAILING ADDRESS: � _�S `,•?bt,,�T l� 4�� CITY: ���¢��. ZIP: �5 <br /> STATE LICENSE: # ! 7�IL� <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 detain: <br /> STORIES: � SQ. FEET OF EACH FLOOR: j��� � �`-�l"J�"� - �G'�� � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��a ,(���i G� <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 Ciry and with <br /> the State Building Code; that I understand is not a permit and work is not to start without a <br /> pernut; and that the work will be in acco nce wi e approved plan. <br /> APPLICANT'S SIGNATURE: � DAT'E: �����I � <br /> NOTE! Parade o,�Homes eve�require separat�permit approval by Police Deparhnent arad <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />