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�Total Fee: $ 3 ��• 3� Date Received: <br /> Entered Fsy: Permit#: /C��(3� <br /> � <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in fiill before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------- ------- ------�------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3 2 S G F��C S T���'T ZIP: �,�,� I <br /> NAME OF OWNER: L.�j';/� �' �Gt G�-� PHONE: (home) L��7S"j��� <br /> (work) <br /> MAILING ADDRESS: ,3�5�' FGX 5 F7�'t�'" CITY: vJ?G�/!� ZIP: S 5��� <br /> CONTRACTOR: d�l'.��. f��i�'�k— G-��fC�L� PHONE: ���'—l/�.�3 - <br /> CONTACTPERSON: /�GS'.S MOBILE/PAGER: ,'3�'�•—S�3'3�_ <br /> MAILING ADDRESS: [ri��t^� �/��'"Z�TJ4''X��ITY: j�f TjLt`t— ZIP: �3�� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILli�1G ADDRESS: CITY: ZIP: <br /> N��; REGISTRATION# <br /> TYPE OF WORK: New v Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: }� �'i'(J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /�,GG('i• �i� <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 approved plan. <br /> APPLICANT'S SIGNATURE: � -- � � DATE: � 2-� � � <br /> NOTE! Parade o�Homes events require separate perntit approval by Police Department��� <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />