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� _ <br /> � • <br /> '' ' � �., <br /> Total Fee: $ �'�;���-� . ' `- Date Received: f l�= �' � -J <br /> Entered By: �` �,� Pernut#: � 5 _ � _� <br /> wr <br /> � <br /> � �`t CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �l `�, `� 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: ����� C�h�'�"1�"�y�} � ( . ZIP: �,��� � <br /> NAI�IE OF OWNER: ��'Vlti �C��Z� PHONE: (home) <br /> : y � (work) , <br /> MAII.ING ADDRESS: �q�� �Zrl��Y��� � � � CITY: �,t�;��t2r-1'(1� ZIP: � S ��il <br /> , .` , - <br /> CO\�'RACTOR: , �C1�` � v ' PHOl��: ��Sd' 7v� S�,/�� <br /> CO��TACTPERSON: L�� G���v ,_B1�,E/PAGER: (�/ – ��° �� , C?=�� , <br /> NL4�.Pi 1G ADDRESS: � L� '` , " ' CITY: ��r,�,'�c.L' ZIP:_<�`Z� <br /> ST�TE LICENSE: # '`�- % <br /> ARCHITECTlENGINEER: PH0�1E: <br /> MAII.,I�i tG ADDRESS: CITY: ZIP: <br /> NA_�IE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK (describe in detai�: � �tt �1.=�i� (,�d�(,�i� ��"1� <br /> �'�L� ���1�� 12� '" ' � � L(� '' �.- �l ir�'L._(�-QL,�� <br /> STORIES: SQ. FEET OF EACH FLOOR: ( (�'�� <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> ,�1 c�: <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ � ��V . <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 Buildin� Code; that I understand ,�his is not a permit and work is not to start without a <br /> pemiit; and that the work wiR be in or nce th the pproved plan. <br /> � <br /> , �--� <br /> APPLICAi�iT'S SIGNATURE: ! � U �— DATE: �� � � v C� � <br /> � ,. <br /> NOTE! Parade �Homes events re�q re separate permit approval by Police De�artment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 � <br />