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Total Fee: $ � '7 • �3 Date Received: �-S C�U <br /> Entered By: Permit#: ��(� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: -���a �� , ,,�' ,�,,, ;,, c�' ZIP: _ ._; ; �. <br /> NAME OF OWNER: (��;,�,/ . S<i; ;k�; PHONE: (home) �.�c-, -����, y <br /> (work) <br /> MAILING ADDRESS: ;���,;, � CITY: ZIP: �-,��35-� <br /> CONTRACTOR: l `���i c� �i..l_��, PHONE: 5"f s/=i s%S'-� �=XI`-/c�^� <br /> CONTACT PERSON: �j'����,, ,�.,�,,,;t;,,� MOBILE/PAGER �i..��� �i ;� ���� <br /> MAILING ADDRESS: 3o�J��/. ����'<� CITY: l�:i,�,�,�';�c', /� ZIP: �>���.; ;� <br /> STATE LICENSE: # r+-'j� <br /> , <br /> ARCHITECT/ENGINEER: j�, -� 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�: ,_ � ' �_ " <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 pernut 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: ✓.5�� � � , ,�t�� DATE: % - >" - �i�f � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />