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� Total Fee: $ ���I•� �' Date Received: %;�'-�� � � <br /> Entered By: __� Permit#: `i �,t-`�' _ <br /> �' <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 /> ---------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O ICONTRACTOR <br /> JOB SITE ADDRESS: /g/5 �r"i C�.`'o� ,�/�S�� �`�l' /"�� ZIP: <br /> NAME OF OWNER: I�IEL � L�O�/E 1�C/��' PHONE: (home) �/7/- Da'-�c� <br /> (work) <br /> MAILING ADDRESS: /f5 i SFRCE�NE�S l�I�',l� CITY:C�c�rva ZIP: <br /> CONTRACTOR: W��'rE �J i��//s��-r." PHONE: �'l�'� -����' <br /> CONTACT PERSON: f� 1'yIOBILE/PAGER: S/a -3�/L �'���'. <br /> MAILING ADDRESS: .�/�r/ 1G,�rtl.e y w�iEv�,u CITY:f'��/�S P�ik/( ZIP: �:�-`YIG <br /> STATE LICENSE: # �!a 3� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: Z�� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel teration Land Alteration <br /> PROPOSED WORK(describe in detai�: 1�E� �'` �`�`k�'-��✓ �`���r� � <br /> STORIES: / SQ.FEET OF EACH FLOOR: � �.�. Z <br /> NO. OF BEDROOMS: . GARAGE STALLS: ATT. DET. <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 /> ,,/�s 1 //Za/9i <br /> APPLICANT'S SIGNATURE: � J`�YY�� DATE: <br /> �✓.G.! �Bx-� , . <br /> NOTE! Parade 9f 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 /> 9 <br />