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'i'otal Fee: $ Date Received: � �°-��� <br /> Entered By: Pern-ut#: ���� � �;•S� <br /> CITY OF ORONO - BUILDING PERIVIIT 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: °j.�-, t : �'�` �,,:.���� � ;-�:.;;. ZIP: ��3�� ( <br /> �r�„� <<_:.. <br /> NAI�� OF OWNER: (;4>��`.����� ��>��r";'��w L- ��t������N __ PHONE: (home) r.,�r 2--� 5 6� �16��(o <br /> fl (work) ot�f�<ti �;, �,:� 1�_ 5=: i1 <br /> MAILINGADDRESS: '�„�-�Z� ��:�;,;.�;,c�l� �j'�,;;, CITY: �.��:��.,�•����(�;a��� ZIP: �t.��il <br /> CO\�'RACTOR: �-hE (�,',k.,�'�Ef�tti��; C;; .��,1��,r.;� i ti;: PHOI��: (, r�i 1`i- ;�i�,' <br /> COr-TACT PERSON: �F::a,.� �a��� NIOBILE/PAGER�:'�'�� - z c,�i�; <br /> NL�II.ING ADDRESS: ,�.�;, �,�,�`•� ,�� CITY: �7� c._�-� ZIP: ;;3�,� <br /> ST�TE LICENSE: # '"5 t, ��-- <br /> ARCHITECT/E`GliYEER: " PH0�1E: <br /> l�IAII..I�i 1G ADDRESS: CITY: ZIP: <br /> N�`LE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED`VORK(describe in detai�: t-1� '�. L� ►�%J'��` , � �-'`�'�w � f r��`"```���`�'� <br /> '���i� � � — <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $� �� �; .�.o�� ��"' <br /> I hereby apply for a buildin� 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 wiR be in accordance with the approved plan. <br /> �, <br /> � . �,_. <br /> APPLICANT'S SIGNATURE: ;' .. .i � �� �`�, , DATE: 1 � �� �' � <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 />