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' ``Tota;t Fee: $ ��{0 � �� Date Received: <br /> Entered By: Permit#: %(��-{�,�� <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 C�Z CONTRACTOR <br /> JOB SITE ADDRESS: .� ��� � �U����� r� f���z ZIP: � ��� � �� <br /> � / ' ' <br /> NAl`IE OF OWNER: ��-v �- l� ������ PHONE: (home) ����` ��U� <br /> ,/ (work) ���—� l c'-S <br /> MAILING ADDRESS:�L�L ���vv�uJ 6 0� i�� CITY: �'� ZIP: �j��[ ( <br /> �.��-r-�, z A 7l-�- <br /> . <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> , _ <br /> ��l G✓L�� � f4 �,_/-� F; �' �-z�f4 I/�� <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration a <br /> � <br /> ) ;, <br /> _ (' �' -;���� ,�r��� ,��; ���,�- l �� �� �5 <br /> � -{`-, �t <br /> I .Z POSED WORK(describe in detai�: �� -�' <br /> �� �- 7�?� F' C/ l / ,°t. � � r��f'nG �,�2aGitG�c � r..� . ?J ��"'� • <br /> �'' f�.�� <br /> STORIES: � 5Q. FEET OF EACH FLOOR: %� ���C� <br /> NO. OF BEDROOMS: ;� GARAGE STALLS: ATT. DET. �c _ <br /> � � > ��: <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 accordance with the approved plan. <br /> : <br /> APPLICANT'5 SIGNATURE: ��� ��'�.� . �c�� i DATE: �' 'f�� � <br /> NOTE! Parade�Homes events require separate permit approval by Police Department ancl <br /> Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />