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, i+h <br /> Total Fee: $ �.3 Date Received: - (- a <br /> Entered By: Permit#: 6 <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) OWNE$�R CONTRACTOR <br /> JOB SITE ADDRESS: ;9�� �o un fi�� �/cc 6 �o�.d ZIP: �3 3 S� <br /> NAME OF OWNER: /���t 2� l/�Q���c�r� Lo n rt e r PHONE: (home) 9,��- 5�7�-3��a-- <br /> (work) 1��� -!��"G- y�y� <br /> MAILING ADDRESS: 1 qG�L'or�►TrN C�(�� /Poad CITY: ,�,on .k� ZIP: S"S,3 S <br /> CO�;TRACTOR: p w,�� �- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: n. Q • PHONE: <br /> I�IAILING ADDRESS: CITY: ZIP: <br /> NA�:V�: REGISTRATION# <br /> TYPE OF WORK: New Addition �-� Accessory Structure `'� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: r�,� ��c e_ c�p c n dl��' wrtti .3-s�c�s o n__ <br /> � <br /> a��4n.o�x /�x ��� ,0/as �ce� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /0, o o v �,ap�o X• <br /> �� <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 accordance with the approved plan. <br /> � ' <br /> APPLICANT'S SIGNATURE: 1/.��°���,,,�����ti��-���� DATE: ��, , � -- �� !�� <br /> _�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Couneil 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />