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Total Fee: $ ;�0 �/• ��'�� Date Received: �� :�l� <br /> Entered By: � r,t.. � Permit#: //u'-f�— <br /> � <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 O CONTRACTOR- � <br /> .- .., <br /> ----------__ <br /> JOB SITE ADDRESS: i i r�� C���'k t�'/�'k iYl ��; r=�i1 ZIP: ���3��� <br /> ;1 -r .,, _ <br /> NAME OF OWNER: �.. I-47�IS ��`�'i�=�����/��- PHONE: (home) ��1� ` >>`i.��f <br /> ,1 (work) <br /> MAILING ADDRESS: �(� (���X f'�'�'�� r�C.s�.�'` CITY: ` t�v: : L,:{�:�:` ZIP: ��5 ; �� <br /> CONTRACTOR: 5t: ; ��c�'_�r��i r" -- PHONE: C t Z '�Z�t �j ��; / <br /> CONTACT PERSON: ;��,r�.�. MOBILE/PAGER: '���-�`�lZ <br /> MAILING ADDRESS: (..,..� ,�2 � r ���5rf�.�'y ��u�.. � CITY: t�ic tr►�tr_._�� ZIP:��y,� -:�- <br /> STATE LICENSE: # ;2C�/� �'C�7�� <br /> ARCHITECT/ENGINEER: 1'''�/�� 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�: -��:e��sN- l��.•��� �` ,=�r=;� <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 accorda e with�he approved plan. <br /> _ '� , � <br /> APPLICANT'S SIGNATI�RE: _.--i�� �.. _�^'�"�-- DATE: �- �t i <br /> � � <br /> r <br /> NOTE! Parade o�'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 /> 5 <br />