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Total Fee: $ �� Date Received: �� '� -3 Ct�' <br /> Entered By: Permit#: 12Z.� <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 CONTRACTO} <br /> �--_____.______ _ <br /> JOB SITE ADDRESS: �'1�' �' C� �;�-�'� 1'�� ���ZIP: %������ <br /> NAME OF OWNER: �'�(�'�-S �- (,� �����[�'NE: (home) '2 —�����i' <br /> (work) <br /> MAILING ADDRESS: ��'�: � CITY: ZIP: <br /> ,�..� �,�' � � .�/f� C�_� , �C,�--`� ��1-�=�''��`���,�-C�� f�'��,+�' <br /> /'� •-1� l`r�/�� / `" '� C� r <br /> CONTRACTOR: PH4NE: � i�--�( )q--J�0�� <br /> CONTACT PERSON: �( MO ILE/PAGER: . ��h-�( �,. <br /> MAILING ADDRESS: C' 1 � -.� r �� ��t�-� , ITY: �'��,�����ZIP:,,�� j � <br /> STATE LICENSE: # ��� i �5��-�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New =_--�t� Accessory Structure <br /> Move /Remodel/Alteration , Land Alteration <br /> . __ _. <br /> �- —-----__---- --- __ <br /> O OSED WORK(describe in detai�: �`�L� �..�C���C'C� `-' �o�C�(� <br /> � F'i(_C� �,��/� � � � C �� � �� �l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �- �i ���� ' <br /> , <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 th he approved plan. <br /> APPLICANT'S SIGNATURE: DA'�E: � �-' �� l <br /> NOTE! Parade of Homes events require separ i�e permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />