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� ' <br /> . � <br /> Total Fee: $ /�?>-'�� Date Received: <br /> Entered By: ��j. Permit#: �j�// <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 /> __ <br /> THE APPLICANT IS: (circle one) OWNEI�R CONTRACTOR <br /> �__..__..__.�...�-- <br /> JOB SITE ADDRESS: Z7�» (��"L'���h'y5-;c�� ��• �t���� ZIP: ��5���, <br /> NAME OF OWNER: �,J�� + ����c.ic;v� �k f(r��,� �- PHONE: (home) �7(� --Z7Z2 <br /> (work) ��I 4: •- 7 7 I(�� <br /> MAILING ADDRESS: �� �>��rt.- CITY: ZIP: <br /> CONTRACTOR: �,`'v�,���+� PHONE: <br /> CONTACT PERSON: ��1���-tJ MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 /> ..--- <br /> PROPOSED WORK(describe in detai�: }-�,�l�-;C� C�z���� I�� b��S���t��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �:'C'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 accordance with the approved plan. <br /> --� <br /> APPLICANT'S SIGNATURE: �_/�f(,,�)�,L��.(,�.� fCi(:I�C1c�/�- DATE: � .� «C� <br /> NOTE! Parade o�'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 /> 5 <br />