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� Total Fee: $ Date Received: <br /> Entered By: Permit#: ,�C. �? ���,� <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 I5: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �� , �� ��/�/�// �� � ZIP: S�3S�o <br /> NAME OF OWNER: �/vt�S��US l� �/Gl.f�� PHONE: (home) f�� �T/�/ <br /> (work) �S/ `��/(� <br /> MAILING ADDRESS: ��d N � i�/��%� ��� CITY: �Ci LA'X� ZIP: S 5 3S� <br /> � <br /> ---�- � / /- Ji� <br /> CONTRACTOR: �/,�/�l�,�JCS!-� f f'l1���Y PHONE: � .�-�/f� � �Q�,r <br /> CONTACT PERSON: �A,tit�S ��U S i� MOBILE/PAGER:�¢�-/� �3 �� 90/-/6/� <br /> MAILING ADDRESS: /� �4 �.P�fI�iJ � CITY: L.��f ZIP: '�5�3 <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 /> PROPOSED WORK(describe in detain: ��1i2�!J � �UU G/1) S �ll��/ <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT.� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 /> l <br /> APPLICANT'S SIGNATURE: � r ��,%^� _ DATE: (�� `� � 9� <br /> �--- <br /> NOTE! Parade of 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 />