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Total Fee: $ /, �'��'_ � Date Received: <br /> Entered By: ,r� Permit�#: '' %�� <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: {��O �-t�'�x S� , C�i'o��, ZIP: <br /> NAME OF OWNER: (�U��,� V1�W�j`��,°f��n PHONE: (home) <br /> T- <br /> (work) <br /> MAILL'�iG ADDRESS: CITY: ZIP: <br /> (6��1 <br /> CONTRACTOR: yE''�q o..� �n s�. L� PHONE: L I N�1- S 3�"3 <br /> CONTACT PERSON:���,�,e_ �{v i;'qA� MOBILE/PAGER: b�1 -3�6= �'I o"7 <br /> MAILIl�G ADDRESS: �17 y] C,9�s„��.�-�, A., . U,[CITY: �s,�,,�����r�,ti ZIP: , S'��1C <br /> STATE LICENSE: # ,��;� <br /> ARCHITECT/ENGINEER: Scl r�, ��,�o,,, PHONE: C�r��� �'I��! <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�: Q�e��T��G:.�i'G �x�r�!1u .1��^,M 1���-h��r c�����. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 /> APPLICANT'S SIGNATURE: DA'I'E: L GI <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non perntitted events will not be allowed. <br /> 5 <br />