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Total Fee: $ �Q. `7 � Date Received: � "� � ��i � <br /> Entered By: �� . Permit#: /�"�� a <br /> CITY OF ORONO - BUILDING PERMIT 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) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� L ��G ti'e�� j�'L A�-�= ZIP: ��S�� S�`' <br /> -�-� <br /> NAME OF OWNER��'Vi�.� �,���16��.�c�Ss j PHONE: (home) �`�-�� �%�'j <br /> (work) S�'�`-. <br /> MAILING ADDRESS: d�S G�'�r� ;�C/ac"� CITY: Lc.��' �.far�=� ZIP: =5'�3S� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N��; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: `%�'� -���� d`��1� <br /> STORIES: f SQ. FEET OF EACH FLOOR: �Z�? <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��s�'U <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 /> ,' <br /> APPLICAI�iT'S SIGNATURE: � '� .�/� *� DATE: � 1 I I <br /> NOTE! Parade of 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 />