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� ' <br /> Total Fee: $ , ;4" " �� ' Date Received: r� ) -- '3 � <br /> Entered By: , - �,, Permit#: =� ,'.� � <br /> CITY OF ORONO - BUILDING PERIVIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: .3 �j v�) C���� S t��f � 4„ 1� �, ZIP: <br /> T <br /> NAME OF OWNER: �� � /�eh � l� �' C� �• f s PHONE: (home) �t 7 f �� �Ty <br /> (work) <br /> MAILING ADDRESS: -S « �=r .� /:�s �L���- CITY: ZIP: <br /> CONTRACTOR: �" �1._s s � I � : ��y' �9 . PHONE: Lr`f 5� C�r3 Z / <br /> CONTACT PERSON: J c�� l� • MOBILE/PAGER: <br /> MAILING ADDRESS: 1 � s",Z � � �ti� v t � �,�f' _� ZIP: _ •�- ��S"'/ �,,f� <br /> �] CITY:�� 7 z< << <br /> STATE LICENSE: # / y� � <br /> ARCHITECT/ENGINEER: �I PHONE: <br /> MAILING ADDRESS: ` �' CITY: ZIP: <br /> NAME; •' �, REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> i <br /> PROPOSED WORK(describe in detai�: 1 �� �( 2 G'� ��- f� (�--- <<r� �tc:, �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut 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 /> APPLICANT'S SIGNATURE: �J� ` ' DATE: �"`J-- `� � <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 />