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s� <br /> Total Fee: $ �� L'� Date Received: <br /> Entered By: Permit#: � �?�',��-- <br /> CITY OF ORONO - BUII..DING 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: /� S C Y�������L'¢CC- z�: .5� 3 S,� <br /> ��%�za�-zQ�� �d����� <br /> NAME OF OWNER: �`7'Q,�G�� ���S�C�G� PHONE: (home) 6�Z "�17.��8S 6 Z <br /> (work) S�sn -� <br /> MAII.,ING ADDRESS: /3�G Y��L-�P�L�CITY: Lal�� ZIP: 5 S 3 S G <br /> CONTRACTOR:���� ���aG! �r�C�So��i PHONE: ( /�-�7.����Z <br /> CONTACT PERSON: /,<a.���r /,��a��'�OBILE/PAGER: <br /> MAILING ADDRESS: /3� C �'C'i��T PG�fCG-'CITY: �a k 9�G�.�� ZIP: ✓�3 S� <br /> STATE LICENSE: # —� <br /> ARCHITECT/ENGINEER: PHONE: <br /> �LAII,ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ?{� Land Alteration <br /> c�lc�''Q'�r�q�ff�c��� <br /> PROPOSED WORK(describe in detai�: ���/a'c � �-O /G� a?/S d� �`� � <br /> �oYfG�v r�s� s��� o� /�o�/S� u��t� � �a y wr�cld�r/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 02 D�• D� ����oo 'S�r� <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 /> APPLICANT'S SIGNATURE• ��I ;�� , "/��.�� DATE: �/�°C Z��� �9� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />