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1 � <br /> � <br /> Total Fee: $ E�ly�, '1� Date Received: ��1�� ,<y f <br /> Entered By: �� Permit#: lU /7� <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 /> ----{-----�-----�-------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> �_.___ __ _ <br /> � - — ,� ,� -- <br /> JOB SITE ADDRESS: �cY� ,/�� rP�'�c G��r��' ZIP: ��3��/ <br /> NAME OF OWNER: ��� i.=v� ��( �c�c �.� PHONE: (home) `� 7�C-- % Y 7 C1 <br /> , (work) <br /> MAILING ADDRESS: ��S � ��:-Kc�=�CITY: c�'u�-t,` ZIP: <br /> CONTRACTOR: `� 1�-�c�� � .�..� PHONE: Lf �1 —C� j �-- <br /> CONTACT PERSON: -� �F MOBILE/PAGER: �s��S=-' ?�i ; <br /> MAILING ADDRESS: y �{/o �hc%�-�e /�'��. CITY: ZIP: �— <br /> STATE LICENSE: # ��� �Y <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 /> , , � <br /> PROPOSED WORK (describe in detai�: �' �-t �/�� G'-cG�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ /�;G�C-�-�� <br /> , <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�ordance with the approved plan. <br /> / r� <br /> APPLICAi�1T'S SIGNATURE: '-. /� DATE: ' Z ' <br /> NOTE! Parade of Homes eve require separate pe at approval by Police Depa, <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />