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�c • � <br /> � � � r <br /> Total Fee: $ � !l����,u' � Date Received: �f�•/��' <br /> Permit#: , ,��, <br /> Entered By: ;� �` °� � <br /> � <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 O CONTRAC� <br /> JOB SITE ADDRESS: I�� S (�G�� ��-�'� Z�� �S 3�( <br /> NAME OF OWNER: 5���� �E--S�� PHONE: (home) �{'7� � �7� <br /> � (work) <br /> MAILING ADDRESS: ��E CITY: ZIP: <br /> CONTRACTOR: A'1�-�K-Ff?�fZ�T�/�' , C�)�l� PHONE: :3 7`f'�s�� <br /> COi�1'I'ACT PERSON: ,C3�-� L�/�'C� MOBILE/PAGER: �S� �tY fF'7 <br /> MAILING ADDRESS: ��f .�' Gv- ��"n�ITY: /�/�-S ZIP: S��S <br /> STATE LICENSE: # �T .��_ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �J��; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> P�Iove Remodel/Alteration �� Land Alteration <br /> PROPOSED WORK(describe in detai�: (_(�..Z�`1 Q�=� �- C�'"-�� � `� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> GC: <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): $ �--�� v�=�� <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: ���'� DATE: � 'I '��� <br /> NOTE! Parade�Homes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />