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Total�Fee: $ J(�'j ,1� Date Received: <br /> Entered By: Q} Permit#: � � I <br /> �t_, <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 CONTRACTOR <br /> JOB SITE ADDRESS: ���� �� �''°1� � �- ZIP: �5 ��� <br /> NAME OF OWNER P � T ���l�'"`�� �l'� pHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 4� �r�~�"�` \`"�� CITY: ��� .� ZIP: �s s��� <br /> CONTRACTOR: �� T �e� , PHONE: <br /> CONTACT PERSON: ��-u �ti�? ,�,r MOBILE/PAGER: T1'� �" �'�Y�' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # � �S-(v <br /> ARCHITECT/ENGINEER: PHONE: <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�: �"�s� �s�►} l7�'rM�} �}s�``D �� � ( ���!� <br /> CI���.C.., <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� ��'�� <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 ac da e with the approved plan. <br /> / <br /> APPLICANT'S SIGNATURE: � DA�� ��/ay /� � <br /> � ---- <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />