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� <br /> Total Fee: $ /. /� ��� �f�� Date Received: <br /> Entered By: � Permit#: .`�=� `t�� <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 OI�CONTRACTOR � <br /> —�.�_--- <br /> JOB SITE ADDRESS: � ��/� C' �'��.� J� ;� ZIP: <br /> NAME OF OWNER: ,�<< „c�n `� ti��v e-� ��C/'����q k PHOi�tE: (home) i{73—� ���' <br /> (work) <br /> MAILING ADDRESS: /6�/ �J ��.j1�-w �c,�CITY: �� ���1�� ZIP: <br /> CONTRACTOR: � r-.� � � S c^i PHONE: �j',� "����' <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: � �� ��.,3 � CITY: �j/G ti� ZIP: �3,,)- <br /> STATE LICENSE: # 1�-u G <br /> ARCHITECT/ENGINEER:�f� cz� _;�)s.'�`� PH0�1E: k �l,r —,�.5-5'3 <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�: j� ,S F�� s v �, p � r t' �, _ <br /> STORIES: ! SQ. FEET OF EACH FLOOR: ;2._3_5� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���5 �S-�� `1 c, <br /> I hereby apply for a building pernut 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 /> ") <br /> APPLICANT'S SIGNATURE: � �� i���� DATE: �� �/� � <br /> NOTE! Parade of Homes events require separate perntit approval by Police Deparlment ancl <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />