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' Total Fee: $� �<� �y� Date Received: <br /> Entered By: �F Permit#: <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 Q�N RACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER:�f}�� �I�OEIr�(tz.�-t�'�- PHONE: (home) ��/ — � Y�t v <br /> �r,�. �C,1 (work) <br /> MAILING ADDRESS: /r3 3 �7 �-�t-2�v�SS CITY: Q� r�c� ZIP: <br /> CONTRACTOR:��a �� � rl ? - �"� Cv/�S f'_ PHONE: �/ �a - � s�'3 s� <br /> CONTACT PERSON: (�v p MOBILE/PAGER:���,�3 - `z r� �_ <br /> MAILING ADDRESS: s S 7� C,?'c�-�,�,��>v i'lt,.��a CITY:Nt G � ��--c� ZIP: �SJ ,� �-� <br /> STATE LICENSE: # �3 v; <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: �"' �`�� � � S � �� <br /> � (l,.e-'2.�� r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> i%c. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): .S 7 � S � �� <br /> I hereby apply for a building pernut 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 ermit and work is not to start without a <br /> permit; and that the work will be in accorda e w' approved plan. <br /> l <br /> APPLICANT'S SIGNATURE: �` DA�: � _ ft '�1 � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br />