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� <br /> , <br /> Total Fee: $ Date Received: �- � "�1 7 <br /> Entered By: Permit#: r "�3� <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: �Q� ���Q/�LC" ��� /II. ZIP: Sf,"1'�/ <br /> NAME OF OWNER: �K� J'f��4LTS_ ING PHONE: (home) �/�(,�,52,(r3.. <br /> (work) y7s- 33 3 O <br /> MAILINGADDRESS: j7D FEJWI�I�Lf� w CITY: �,,��ysA�A ZIP: 5�?!/ <br /> CONTRACTO➢2: �,A�.tE.t I�4sI�lE3_ tNG. PHONE: �j/�- �,�,3�p <br /> CONTACT PERSON: �N LA�� MOBILE/PAGER: 7�/7. �p 3i <br /> MAILINGADDRESS: �,�},yE A! AdokE CITY:�y,O�/�n/ ZIP: ,�f'S�/ <br /> STATE LICENSE: #200��p�s <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 detai�: ���/� D�h/��//��/ •� <br /> .�/��/ia � �� AIl��x � �c AdoKr is ' w�os <br /> STORIES: SQ. FEET OF EACH FLOOR: <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 t approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />