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►- � -13 � �� � ��� � <br /> , otal Fee: $ --�� Date Received: � <br /> ` Entered By: �a� Permit#: �< < I� � � <br /> �.-i�,�S� l.r I 2`_� / �' 3 <br /> CITY OF ORONO - BUILDING PERMIT A.PPLICATION <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 SIT'E ADDRESS: �o�(� �"i'�ZV' (�;1� i,.t�i�3�. ZIP: 5�j��`'� � <br /> 9 5�- <br /> NAI«E OF OWNER: (`{{���"� L�' � � PHONE: (home) � �'f'S�'"�� �� <br /> : � (work) <br /> 1�IAIL .]1i IG ADDRESS: 3��`' T 1�1��J'����� �ITY: 0�=�� ZIP: S 5 �-t I <br /> Z'�_ , <br /> CO\�'RACTOR: f�l������ r�,��►� ��1�5-� �� PHOl�'E:���91`�-S�Z�� <br /> COr�TACT PERSON: (�1�-1� �,� '�:; �NiOBILE/PAGER: N,/� <br /> NLAILING ADDRESS:�{Po i N�.�tJ"f'���'�' i�� CITY: �\' ��� ZIP: S� `f 1%� <br /> ST�iTE LICENSE: # ��� �� ��� <br /> ARCHITECT/ENGItii'EER: t� �� PHO�,TE: <br /> MAII.,I�i 1G ADDRESS: —T CITY: ZIP: <br /> NA...tiIE: REGISTRATION# <br /> TYPE OF WORK: New �t/ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: ('�-,j j(�G� ��� � \ 1�i�__p EC� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 1�T0. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> ��z� <br /> EST�IATED CONSTRUCTION VALLTATION (eYclud.ing land): $ '��,-C� �� • <br /> —� <br /> I hereby apply for a buildinJ permit and I acknowledje 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 BuildinJ Code; that I understand this is not a permi[ and work is not to start without a <br /> perm.it; and that the work wiR be in accordance 'th the a�proved plan. <br /> APPLICANT'S SIGNATURE: �� DATE: l� `�� '�i� <br /> NOTE! Parade o Homes events require separ te permit approval by Police Department and <br /> City Counci160 days prior to the event. Non p rmitted events will not be allowed. <br /> 5 <br />