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f: <br /> i �� . <br /> �' <br /> • ���'Total Fee: $ ��'��- f-� Date Received: ��'- %�'- C', �� <br /> �� �� Entered By: �- � Permit#: � �j%�� <br /> , �1r1 �; <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 O CONTRACTOR <br /> � ,' <br /> JOB SITE ADDRESS: �5 � � �' � ZIP: �` 3 <br /> NAME OF OWNER:�j�t '� �I���i �C��'�C�c�__ PHONE: (home)R�'Z--�-l���'�l�3'3� <br /> (work) <br /> MAILING ADDRESS: �y�� CITY: ZIP: <br /> CONTRACTOR: k�i ��.���� C�� ������ PHONE:��`L-.-r��l�J`�Z Cc^�.�"Z <br /> CONTACT PERSON: � MOBILE/PAGER: Z,_ ' ' , <br /> MAILING ADDRESS: � �.� �t �"^ CITY: ; '' -' �. ZIP: �— <br /> STATE LICENSE: # `��/� ,, �)r- <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 /> � � 1 I/ � <br /> PR O ED WO (�escribe in detai�: �� � l 7 (�1�,. � I��6�l:L 1���-��.� <br /> T` ,� / <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: 1 7�^ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �f�j ,��?� _ <br /> I hereby apply for a building pernut 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 /> /�'�� � <br /> APPLICANT'S SIGNATURE: �' �`'��� !� � DATE: � � � � <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />