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� <br /> Total Fee: $ ��`' � 7 ' �` � Date Received: � - �►� - �"�-' <br /> Entered Bv: �� Permit#: .� ;�� � �� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be star�ed. <br /> (please print all information) <br /> --------------------------------------'------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (�rcle one) OWNER OR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS:�� �C� I���Q�_��/ul�/ r� ZIP: ���SIJ ! <br /> NAME OF OWNER:` /` w��l� �l, /' I l G�Q/��PHONE: (home) ��v2 � ��"���C� <br /> ,� 2 ( ork) <br /> MAILING ADDRESS:.�l � T.�,�� ���' CITY: ��'l.c'Y�,� ZIP: , G <br /> CONTRACTOR: <br /> ,�G" PHONE: S�"" 7 U� �� YC� <br /> CONTACT PERSON: MOBILE/�: �� � "�O 3 7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /'',5 � PHONE: ��� ���03�� <br /> MAILIN ADDRESS: %l` ' � , •— , CITYI�2��u--��•-e.�� ZIP: ��j <br /> NA1V�s �2i___�.(�t;-�i REGISTRAT ON# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WQRK(describe in detai�: � �, �`�� ��� G�Yw�e� �^-� <br /> ���t . � -, �S � ��( �'���� ` . l � ' � . ��_ <br /> ' /��'i'► l.L'�c:l � /3'1��. , <br /> STORIES: SQ. ET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��i��L�71 <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 b ' accordance wi the approved plan. <br /> � � <br /> APPLICANT'S SIGNAT ' ��� ��� '� �� DATE: ��� �'�� <br /> � <br /> NOTE! Parade o�'Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />