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.- . <br /> � � <br /> ` ,�� Total Fee: $ �� �.��:5 Date Received: �3- �� <br /> Entered By: _ Permit#: %�5�-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 /> -------------------------------------------------------------------------- ----------- <br /> ----�----------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � e / <br /> JOB SITE ADDRESS: � 6 S �Q R N�f,9- � ��( Gv ZIP: s S �� / <br /> NAME OF OWNER: �. -c G�,� ,�.� PHONE: (home) �f 7,3- �y 4'�/ <br /> (work) <br /> MAILING ADDRESS: �b,S ��/1 N� � � CITY: � /�d N o ZIP: SS � <br /> CONTRACTOR: JQ. �. (fNSp,Qti►qN ���f�, PHONE: 6 i z- � 8a s=a�a� <br /> CONTACT PERSON: �� ,QR ,'v/t�,�MOBILE/PAGER: �-01-- 3�a ,� <br /> MAILING ADDRESS: �/ '� SU �v:c�!/�� �J� f�, CITY:�f ZIP: S S��f C�� <br /> STATE LICENSE: # /a 3 q <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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�: �Q, e �,¢;� �i►-7'<� ��t�-,��-� P <br /> , , ; <br /> l�' i J"��Q� , �t-lti � l.�<tJ4iho.-� �Qer��-�� ��. ' ,,, ,��;.,� y ,� ' <br /> J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> , �,,, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,�� , 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: ��( ���r�._ DATE: � - �f- �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Departmerat�n� <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />