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. <br /> � r Total Fee: $ �'`�� ` C�'4' Date Received: :�- � �-�y <br /> Er�tered By: � Permit#: ,���-=.�jC'/ <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 /> �" ,1 �� ,,., -� �';, _ -� � <br /> JOB SITE ADDRESS: `�-1 � �?���-� 1-�;J�=' ZIP: �> > � { <br /> � �' � � �/ PHONE: (home) �_� -� ; .. -� 1 �� `�; <br /> NAlV� OF OWNER:��.,:> ��_ <br /> (work) <br /> MAILING ADDRESS: �`-�v g r � �-T"T ��,��:_ CITY: <..=: '-��� ZIP: t� ,; -,� '�! <br /> CONTRACTOR I-1 ��'��Z, �-� �>�� , .�f�=_, ,�•� PHONE: �i•7 . � Z`� - ( �`►�[ y <br /> CONTACT PERSON: �_�,�-r�. L;,��:°-;,r.;,-:<�MOBILE/PAGER: � 1 z _ �_�l �� , => `�3 `=� <br /> MAILING ADDRESS: 1�� � �o � =; : - • t CITY: ,;1.:. r, ZIP: L> `>` � � <br /> STATE LICENSE: # �> �__ �- �i <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteratio?t�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: �,��_��,:�.��� i�,�`-- L.�ti��_�� ��� ���� ��=-�-�; �'�y <br /> �: <br /> ; ��s �' ��-�-- �� i�.�:, <br /> e <br /> STORIES; SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �.� �= <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � : ; '�=U <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 understa�d this is not a permit and work is not to start without a <br /> pernut; and that the work will be�in,accordance with the approved plan. <br /> / ; <br /> APPLICANT'S SIGNATURE:`t'� DATE: J� [ i'? ��•� <br /> _. � <br /> NOTE! Parade o�'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 />