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� <br /> • Total Fee: $ � ����= � " Date Received: c/��-�U <br /> ' Permit#: � � � t_,% — <br /> Entered By: �_t� /�c� , ; <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: �����(•��> '�,,�,.� ,�- �'�,��� ���� ZIP: �"����'�i i <br /> - ( �� 1- � , � � 5 � <br /> < <br /> NaME oF owrrEx: �I �I�� ���� �������2 rxo�: �nome� �<� ,� - � �"�S— <br /> (work) <br /> MAILINGADDRESS: � 0 N ���CITY: (,c�� (�kL ZIP: ����� I <br /> CONTRACTOR: ;�--'I ti cS���,� K�E7-�i,� � PHONE: `�� I - � `=��-'�.° <br /> CONTACT PERSON: ��S l,11 a�����-y � MOBILE/PAGER , 1� -C`;�3 �� <br /> MAILING ADDRESS: " � �'� •��� ��,' . CITY: �������Z��� � ZIP: ��'S 1� I <br /> STATE LICENSE: # �Z.�,�;g� ��1 <br /> ARCHITECT/ENGI��ER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x Land Alteration <br /> PROPOSED WORK(describe in detai�: 2 I���.�� -�c_n�-���--+� a�-�� F r,J l t�t <br /> �— <br /> _ t,����, ZS _�, - � iti��<' S <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. �� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (y � C -� , � �'� <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 understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in a cordance with the approved plan. <br /> /l /�G^�� ,' <br /> APPLICANT'S SIGNATURE: �Y / � D�TE: J—� �—�� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Coccncil 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />