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Total Fee: $ �t, � > . �) `� Date Received: `����,/�i <br /> ' Entered By: ,/� ��_� Permit#t: %/ 3`I�-- <br /> ., <br /> CITY OF ORONO - BUILDING PERNIIT 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 O1�CONTRACTOR � <br /> JOB SITE ADDRESS: / �H` i f-%� �--/=%iy/-�'s� �%��.�i ZIP: ,y 5 3`f d <br /> NAME OF OWNER�;i=�' � 1�c��/:i'sy/�i����=_�:"-. PHONE: (home) �=%Z - �'�i- 7G�=L <br /> (work) - -i ?� - `���,T4� <br /> 1�1AILI�i 1G ADDRESS:�f��'��f�N-�s s /'-,.�r-CITY: _' ;,;_;�c.. ZIP: 5�;7 i <br /> CONTRACTOR:' -= <," la:;;,���,,�-L�.k_�� �� - i.��� PHONE: ����'P�-y�,/���3 <�i Z <br /> CONTACTPERSON:. ; a .' h,'/.=i�-/�•/r'%/Z� MOBILE/PAGER:._: ' Y% ?•/:�f' <br /> MAILING ADDRESS; `. ;� .�t�f=�%, ���� �- CITY�t; �': �� - . -,� ZIP: �'�_- <br /> STATE LICENSE: # �"�` � �' <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: N�w �" Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,'�'.-� _t` � .� � �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 /> APPLICANT'S SIGNATURE: � `'� � � � ,., /� DATE: `'��� '�- �-� o��;- <br /> NOTE! Parade �Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />