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�- <br /> Total Fee: $ SU � Date Received: �'a(o-C�C� <br /> Entered By: �/�l Permit#: �Q q7,S�d7J <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) �WNER R CONTRACTOR <br /> JOB SITE ADDRESS: ���S� l� � (�� (_.I��'� �F�L L: �� ZIP: � � �3 �1 I <br /> NANIE OF OWNER: C_��N(.._E y �CO�� , 3(� PHONE: (home) �l � 3 " ��� y <br /> . (work) <br /> MAILING ADDRESS: ��l�'1 C CITY: ZIP: <br /> CONTRACTOR: � L._ {� 1 !�-J � (-� PHONE: 9�2- z1�le <br /> CONTACT PERSON: MOBILE/PAGER: �.�-�$3 <br /> MAILING ADDRESS: CITY: � E �--�-��► c� ZIP: <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 I �� I f� e n.l C� W /=� L L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � � C E=�' • <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 Ciry 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 app �oved plan. <br /> n <br /> APPLICANT'S SIGNATURE: <� DATE: � �--L ^ U� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />