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� <br /> Total Fee: $ ;`- � '� '�l Date Received: �- � `�- `���= <br /> Entered By: �: � Permit#: S�y;c' �' <br /> � <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 OC NTRAC OR% <br /> �___ . <br /> JOB SITE ADDRESS: .��30 (�;� }iys�r^,1�,- L,+v��.�1 ZIP: , �;,3,�E <br /> NAME OF OWNER: (c,_ ���t, «, �l� ._.: PHONE: (home) Yc "! �'t'f�� <br /> (work) <br /> MAILING ADDRESS: �(. ;������, ae �): CITY: �";��:.-,,... ZIP:_q��� � �, �� <br /> CONTRACTOR � , �,-� � PHONE: �-�jg���j � <br /> CONTACT PERSON: , ' . , - MOBILE/PAGER ,�</y �;'��� <br /> MAILING ADDRESS: ,,���; r,�_�� CITY: - � ZIP: ;;_;�i <br /> STATE LICENSE: #_qr;j� <br /> ARCHITECT/ENGINEER: �:• �t� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration <br /> PROPOSED WORK(describe in detai�: r :. }l,,., �X�, �,n , �:�y-�, . L��,: ld I�u� ��ac�rr <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j�,�, , uu <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 Ciry 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 /> APPLICANT'S SIGNATURE: � �,F''�/' DATE: : � - __ <br /> NOTE! Parade q.f Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 6 <br />