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.� <br /> . v . � <br /> �� <br /> Total Fee: $ `� '� � ' Date Received: �-��/� q� <br /> Entered By: Permit#: �'�? � <br /> � <br /> CITY O 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 O t�CONTRACTOR' <br /> JOB SITE ADDRESS: _�s�� � �- L.;��,�' �`'. ZIP: �s <br /> NAME OF OWNER: �c��_������ PHONE: (home) -��! - �f��'�� <br /> (work) <br /> MAILING ADDRESS: ;�;,�-�,4 � C_!�(c F� `,"� CITY: �,fi��,�,4 ZIP. ���r� <br /> CONTRACTOR: �1� i a8 . ���� �'' ����, PHONE: �-�� �. - I �; (_; i��. <br /> CONTACT PERSON: ��i�a�_/(,,�� � MOBILE/PAGER �r� �-q ;_i,�, <br /> MAILING ADDRESS: �c•_��F> ✓F�;�/�. r�' � P; f_ CITY: ��';u,,; %r't�P-r.� ZIP: :�S ;�,�.. <br /> STATE LICENSE: # ����� ���,� �=� <br /> ARCHITECT�'ENGINEER:; ��}��_r,� PHONE: <br /> MAILING ADDRESS: CITY:��,r/-��, ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK (describe in detai�: �jl,; ��'�T«��l �f'y,��CT� l`�r.X�� `�S ��p.f� <br /> , .� <br /> ; ' `.�;'` � a <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �`�> GARAGE STALLS: ATT. �_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � r�T"� ,�� <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 /> � ! , <br /> APPLICANT'S SIGNATURE: '% ��% �����/'1.�,�.4-�° '��DATE: � '�i' <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 />