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. <br /> ' Total Fee: $ � ) ��I � �l�� Date Received: ��_/�_ c�j <br /> � Entered By: ���=��� Permit#: ,f�c% �'7i y <br /> _� <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 R CONTRACTOR , <br /> -;,,---__._.�_ <br /> JOB SITE ADDRESS: a � ``1 3 C/'-� 5�.-''rz- ` � ZIP: �;"5„�'� / <br /> ,.� <br /> l j c.l>S% � <br /> NAME OF OWNER: `�.��-'� �,���--r PHONE: (home) � 7 I - 5�� <br /> > >, , � <br /> (work) `'S z-_,-�7 i —��-a <br /> MAILING ADDRESS: =� >`-�3 ��(S ��-- •` � CITY: ��'-v-,�,�; ZIP:�� <br /> /' <br /> � <br /> CONTRACTOR: �►/,� Sr�2,c-�.� PHONE: "7G� - 5'�(-�7�i <br /> CONTACT PERSON: - � (. ;�,���/ MOBILE/PAGER: ��;g �S a � <br /> MAILING ADDRESS:���� �;� �.�-.- . �.✓ CITY: j��-.y�r� �,ZIP: �,'%�"(� <br /> STATE LICENSE: # /��,� 7 �r� <br /> ARCHITECT/ENGINEER: ��� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ✓� Lahd Alteration <br /> � <br /> PROP ED WORK(describe in detai�; /���'�''-� � � �.��r",���.�f',�� <br /> 1 I <br /> .� i�� � <br /> ��� ��°"'� ' ����, '0 <br /> ,, `` , � J , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ G�� ,� �' � ��� <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 is is not a permit and work is not to start without a <br /> permit; and that the work will be in cco an , with the approved plan. <br /> �, <br /> APPLICANT'S SIGNATURE: � DATE: l=����-���i J <br /> ,� _ <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />