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' ;)-L`E 3 `l` � <br /> Total Fee: $ Date Received: /�-/�- y 7 <br /> Entered By: ;1:L�� Permit#: �C�'� c�' <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �5� . F�()al.,� ZIP: �� 3 `�� <br /> NAME OF OWNER: �(����5 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:�Q�, S, e�,pp�� �,,�� CITY: � � ZIP: 553�1 <br /> CONTRACTOR: ��(��� 1�2.� �'�;M�S `�J L_ PHONE: y"15--G�-�t�' <br /> CONTACT PERSON: ��--;�� b�� MOBILE/PAGER: �"1�l�3 44� <br /> MAILING ADDRESS: ��� �, �,�e.,4c�t�,�,� Av"E CITY: �� ,ti4 ZIP: �53�i <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �4.L.qQ���' ���� PHONE: �1-?U —C'(7S� <br /> MAILING ADDRESS: S�{u �,.�[;�css,o� �.?` CITY: ���(, ZIP: 5�31 <br /> NAME: ��,�` ��,tc— REGISTRATION# <br /> TYPE OF WORK: New ✓ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: 'Z SQ. FEET OF EACH FLOOR: Z�t�(� J Z�c�U I � 8d� <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATT. _� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ s�•UOc� <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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in acc nc the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: J�, /��L -� <br /> NOTE! Parade of Homes events req ' e separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />