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� <br /> ` ;otal Fee: $� R��,ss Date Received: <br /> Entered By: ,� . Permit#: /l�,Z9� <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) OWNER OR CONTR.ACTOR <br /> JOB SITE ADDRESS: �`C����-� <�!�=�� %�G�_ ZIP. <br /> NAME OF OWNER: �� � ��,Ly�c- -�y� PHOiVE: (home) <br /> (W,�. k) <br /> MAILTi�TG ADDRESS: ��U �� �� CITY: G��-c��w ZIP: <br /> C0�ITRACTOR: ' '' �'' ,,� '�i � ;, PHONE: �f�0�-�'���� <br /> CONTACTPERSON: �� (L, fi S�(.� NIOBILE/PAGER: ��,?.- �-'3%�, <br /> MAII.,I�i tG ADDRESS: ' "'3 SC . ' ` Z�S CITY: �-�Ce'����� ZIP: ��� .3 � <br /> STATE LICENSE: # C�lSr�'1 ' <br /> ARCHIT'ECT/ENGINEER: PHO'VE: <br /> MAII,I�i TG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> , �� <br /> ,--- <br /> P�OPOSED WO (describe�n detai�: ��,,� �'��� � �'�-E� �/�.5�1 <br /> �L`��� �� r��'A-�✓� �%1�� /L/lJ`��_ L.Si��c,�c ;l�i�-�.g-�c� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTI�I�ATED CONSTRUCTION VALUATION (excluding land): $ '�� �' � <br /> I hereby apply for a building permit and I aclrnowledge 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 Buildin� Code; that I understand tYus is not a pernut and work is not to start without a <br /> permit; and that the work will be in accord�nce with the a proved plan. <br /> ,.. <br /> APPLICANT'S SIGNA � • � � / ,:�-,L:_� DATE: � �"� �,� <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. 1Von permilted events will not be allowed. <br />