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, � . <br /> Total Fee: $ Date Received: � " � �� - �%v <br /> Entered By: Permit#: A p��� <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: �13��' Cc�X F�Rry'� R��4� ZIp: S5 3 s� <br /> NAME OF OWNER: �AG� �L i�t(�c�T PHONE: (home) ��2) Z4�t -7� ��{- <br /> (work) (E�i��j � 708 -45 98 <br /> MAILING ADDRESS: q 30 C�;� G.��rgri �Z� CITY: �2 v N� ZIP: S 5 3 S�O <br /> CONTRACTOR: /�LL-<Iirlck'�C.�nl i2�C.�E�Ti��•� PHONE• �(olz� �cf�, -S�o� <br /> CONTACT PERSON: -��� MOBILE/PAGER: C��L) �,r r- /y z.s— <br /> MAILING ADDRESS: ��i��3 � ff y/� i�R CITY: t��Ns✓r u�� ZIP: SS3 3 7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGIlVEER: PHOi�TE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE; REGISTRATION# <br /> TYPE OF WOItK: N�w � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: /�� :3 � %�/6�Ii�'D �llL'L--_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (exclud.ing land): $ r �, �Z` <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 /> APPLICANT'S SIGNATURE: �� �X� DATE: ,� �-„� ��� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />