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. � <br /> Total Fee: $ �`{7 5 �� S/' Date Received: �-t��v Z <br /> Entered By: (;�-- Permit#: �r ����G� <br /> CITY OF ORONO - BUILDING PERlVIIT 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) OWNEZ,2 OR CONTRACTOR <br /> . � <br /> JOB SITE ADDRESS: - '= � � � '�j�T�/ ��='y �4f' ZIP: � `> >% % <br /> NAME OF OWNER: :" `f �'r�--^� � •�� PHONE: (home) ` 7'�� <br /> (work) <br /> MAILING ADDRESS: ; �'� c i� �Sl�/i�'';( CITY: ��;==y���"�`• ZIP: S 7 ;�� <br /> �-� �%� <br /> CONTRACTOR � �i�-j/-'c� ��te�� , � , . �;y ; , . �... <br /> ��v/v�- �.,c PHONE: � �i,�%� <br /> CONTACT PERSON/� ':�� MOBILE/PAGER: _ <'" - cl`_;-�< ��/- `l"' <br /> MAILING ADDRESS: /�j s� ��. � �i1yZ<�j�-' CITY: l�%-C ��/L� ZIP: 4� ���y <br /> STATE LICENSE: # �:��� ;'�i�;�� % ��li//�` <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ;,-�.�; �'=:"�u� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (exclud.ing land): $ ^'�: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 /> i <br /> APPLICANT'S SIGNATURE: �� �� - ���" . DATE: �!� �%�l-%-� <br /> t , . —� <br /> NOTE! Parade.Qf Homes events require separa�"e 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 />