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� w <br /> �--� <br /> Total Fee: $ j L� � '�� Date Received: <br /> Entered By: �4�� Permit#: � 'Zi�-t� <br /> CITY OF ORONO - BUILDING PERlVIIT 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) NER R CONTRACTOR <br /> �, cz ��� ll�� '�' <br /> JOB SITE ADDRESS: a � k' �� `� ������>c=�c� �., :-)i, ZIP: S S ��r <br /> , <br /> NAME OF OWNER: �' ct�� � ���J q� �-LS� PHONE: (home)C� �� _�( � /- �� �� <br /> (work) <br /> MAILING ADDRESS: � ��v ,�u;� ���� CITY: t °� ;���, ��_ZIP: '��� <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 /> TYPE OF WORK: New Addition Accessory Srructure <br /> Move Remodel/Alteration�_ Land Alteration <br /> � v ;Y�-��____ <br /> PROPOSED WORK(describe in detai�:. � ;'r�' r' n� �� � J � � �-C C't� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ (J , U C� U < <J L% <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 permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> DATE. I � <br /> APPLICANT'S SIGNATURE: ���� ��n .1�-���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 />