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} � <br /> Total Fee: $ Io2��(.�5 Date Received: �� � /� -C� ` <br /> Entered By: ^��� Permit#: /-� OS��O/ <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT <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) �WNER CONTRACTOR <br /> JOB SITE ADDRESS: � ��J C�4�ne t t'1a�� ZIP: .'�� � �S� <br /> NAME OF OWNER: ��0�21r+ �OXa.�'l n£ c7.�C l � PHONE: (home)��5�-'-��I-�'7b�3 <br /> (work) a�Z -y73-- 54�q C(�6�.v � <br /> Maa,�G ann�ss: 1�� C�.����� I���CL CITY: �oN�► �a r� z�: 5 S�� <br /> CONTRACTOR: i �l �Q G�1 t-�:'� ; _C��J r��� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHOl�'E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��r�pp�,le �Y`���}'L�G� (�6'1 GI(,P/YLiO,,L�f— _ <br /> �w��2 , �'�.�1�.�=1�� or, �.�,t�, �- hcna � <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��S� �P�t n2�, <br /> __.----- <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 pernut 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: DATE: � - /� -�� <br /> NOTE! Parade of 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 />