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Total Fee: $ � � ��7f ' �3 Date Received: � /���� <br /> Entered By: —_� Permit#: �� p`� <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 O1�CONTRACTOR i <br /> -- _ ; <br /> � _ <br /> JOB SITE ADDRESS: �% 7 /�/ F� v� ��� �� ZIP: 5' S 3 y'/ <br /> NAME OF OWNER: f������ !�r,��� � ���„� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �J;' ����-��„ �� ���E CITY: ZIP: �-s- �' �-��i <br /> , � <br /> CONTRACTOR: C-�� 7 �c�h,� ���- f�7�r � � i�:�, PHONE: ��'�t � �-s�/,�L— <br /> CONTACT PERSON: ,��r� ,/�.h �,>�� �� � MOBILE/PAGER: <br /> MAILING ADDRESS: �, �7��, � CITY: ''��' ' �;� �--" ��� �' ZIP: >�"� ���� <br /> . <br /> STATE LICENSE: # '� � � � <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�: L e �, �'� � �-� �� � (�C��t���-x.� <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��z;���� c" <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 the approved plan. <br /> , , <br /> APPLICANT'S SIGNATURE: ���� �--;;�y��� DATE: �f -/� - �/7 <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />