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ti' � <br /> � Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /f r�`i f�l f."•�'Nf,5.5 ,� �G� Z�: .5'.�.3 ��' � <br /> NAME OF OWNER: �J�� ��,�,�(�l1`�i PHONE: (home) y7�- 9,j �'� <br /> (work) <br /> MAILING ADDRESS: /���f`� f.91£'.�✓£-5�,� 631.�f�7 CITY: U,�T��cz ZIP: �' S <br /> CONTRACTOR: �I L Q(J ��v L PHONE: /���,o(IQ� <br /> CONTACTPERSON: �?��i�i,/ MOBILE/PAGER: ;�q_ �Q� <br /> MAILING ADDRESS:�L�.1.,�/`,�.�,���,--Tc�kn /��.c% CITY: �77K� ZIP:s,�,�' <br /> STATE LICENSE: # ;�y�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detai�: Rf'h�c/� €xi.sTi�G ���.���� S�i��� <br /> yr � C�,O.c�l1 �sr��,���'`��,�.,.� �:��-f � s�n� _ k'frra/F, � �fi°taC� �1���ovn/� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j�'( ,S�JO <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: 6'�C.�� � � <br /> / <br /> NOTE! Parade Qf Homes events require separate pernzit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br />