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� <br /> Total Fee: $ jp�� G � Date Received: S�� /pv <br /> Entered By: �;� _ Permit#: /.� p,z �8� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �y �� �� e� 't" �1�rns c�}n,� ZIP: S �S 3(p�/ <br /> , � <br /> NAME OF OWNER: � � .c.u-�-�. PHONE: (home) '�7,,? -�l$�-� <br /> (work) -3 � —`�''3�// <br /> MAILING ADDRESS: ��� J�'►�� ,� ��v CITY: �/'Lrn-�.s—' ZIP: S`�S�3G y <br /> CONTRACTOR: ,� ���,�.y ���� PHONE: Jl j � 3y(��6 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 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�: <br /> STORIES: � SQ. FEET OF EACH FLOOR: �Z �U �-� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �.(�E� �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 i� not a permit and work is not to start without a <br /> permit; and that the work will be in accord�' with the approved plan. <br /> , , <br /> APPLIC�NT'S SIGNATURE�,�'� � ��'�c.� DATE: S / �� <br /> , <br /> NOTE! Parade of Homes efents require separate pernzit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />