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Total Fee: $ `l/�. .� �" Date Received: <br /> Entered By: ��`�_ Permit#: ji�5� <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 �iPPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �v� � ✓� �� �(/ �. ZIP: �.�� `7 � <br /> � c � � <br /> NA1�IE OF OWNER: ��t,,,� � ���{GW� ��� 6'1.G� ` PHONE: (home) �' ` - ZS( 3 <br /> // J (work) I-'7 Y -��7 3 J <br /> MAILING ADDRESS: .�U� J`�c-C: (lrY� �(f`ECITY: L� v c�-Y�.�% ZIP: .,�`-5�� � <br /> CONTRACTOR: �L.-%/�%/��� l-�l--frG%��/l�,�-���,._:'_/i`� PHONE: C�IZ 4��`������ <br /> W� � CONTACT PERSON: /-�3 1dIOBILE/PAGER: ������ -� ��"������ <br /> �' � '` � C S-�SC� <br /> ��I l ! MAILL\TG ADDRESS: ����` �c� G�.-f'yz i���1 !�: /CITY: �� .' ,_,�:%�c ZIP: � <br /> ln,���,� STATE LICENSE: # :�'-�� 'l����'' -3 <br /> r����if� <br /> c��m <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIL�G 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 detain: ���' X �� Y C�cu ��= (� trf� ��'��� <br /> � <br /> � �G�� C C�lG'� �� <br /> L �j � � <br /> STORIES: � SQ.FEET OF EACH FLOOR: Q �J <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ y��� C c% 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 und and this is not a permit and work is not to start without a <br /> permit; ::nd that the work will be; n corda�ce ' the app ed plan. <br /> A <br /> PPLICANT'S SIGNATURE:I�;� � '�f' � DATE: � ��� �� `� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />