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� C � <br /> Total Fee: $ �rj��.E' • c� �' Date Received: � � ' � 1 - �C�� <br /> Entered By: _ (� Permit#: ��d.� d <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: � ���5' �Q,�, S �-�C- � 1�.� fZ� ZIP: 5 j 3�� <br /> �T <br /> NAME OF OWNER: �� �IJ�S � �c c'�, S 'f�^}�r-' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 3 3 0�S��'�1�, S k�� ��i�iPd^ CITY: ��.u,��� ZIP: _ S- �� <br /> CONTRACTOR: ��}C l.,r�L�,. �., PHONE: Qa(Q�--JC,,S� <br /> CONTACT PERSON: ��i�; � ��k ((��,5 �- MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> 1�TAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> +�f c.� <br /> PROPOSED WORK (describe in detai�: �i�-�-11 ��� �C.Ct r�� /-',c~� �. - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONTS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j, p� : <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 acco nce with the approved plan. <br /> APPLICAIVT'S SIGNATURE: , -�, --�-= DATE: � � �' C�^' <br /> NOTE! Parade o�Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />