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Total Fee: $ ii'�%� �',' Date Received: �- ZI- `�� <br /> Entered By: ,G�t . Permit#: j��j����Y <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: ( �� � � ���� �-, �1� !�� �' ZIP: � � ..3�E� <br /> NAME OF OWNER: �f-�.f<x g```-�'s t'1����-�-n PHONE: (home) �--1�13"-�%Z�'� <br /> (work) <br /> MAILING ADDRESS: 1 Q;L� C�u,r�s �l ��C'' CITY: - �ZIP: 5 S 3}'� <br /> � �-e��r t� <br /> � ,� ��, c , �.�� <br /> � �� <br /> CONTRACTOR: -��"� P�3.QlY,�: .���w'-jL <br /> CONTACTPERSON: �.����c �-��'•.� y< MOBIL PAGE �' y1 �-�/�S 3� <br /> MAILING ADDRESS: 1 <<1:s�'��,,�f;, c!:i<<( CITY: C?s_pst,� ZIP: .��s� 3�`�' <br /> STATE LICENSE: # <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 detai�: `� �r ��`G (.?-�rr�,y �;/�' <br /> STORIES: � SQ.FEET OF EACH FLOOR: � � ��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. v'� DET. <br /> ry t Y� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $���, l''`�- <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 ardinances 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 /> T 1 _� <br /> APPLICANT'S SIGNATURE: /� �-� ��ii...C,r� DATE: . 1. � �Z��� <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />