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� <br /> .Total Fee: $ Date Received: <br /> � Entered By: � Pernut#: _q5l,j7 <br /> CITY OF ORONO - BUII..DING 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 � S �-t-��� ��5 e �-�" ZIP: s��3� � <br /> NAME OF OWNER: �'A r►��e S S i..�� �(� PHONE: (home) � � 3— 1T 6(5 <br /> (work) ��d � �� Y y <br /> MAILING ADDRESS: !c�� 6-' l�ic,Ti1�CITY: O/L.o✓v ZIP: S J 3 4 / <br /> CONTRACTOR: ry�,v c��vr�,y ��� �c.�v� PHONE: �-( LO- �.�i.a 5^ <br /> CONTACT PERSON: —�yr�., S-�db l c MOBILE/PAGER: (�,Sc� - �1�Z.'8 1��_c, ��`�I <br /> MAILING ADDRESS: � �t,�� ��tc.Va �o �,-- CITY: 2.�� �r s ZIP: Yrt�-+ , <br /> STATE LICENSE: # ��3� � <br /> ARCHITECT/ENGINEER: PHONE: <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 detain: �Iti•,K_ o 't(� 4� Qe ��1' _ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ "`t� �op, 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 wi the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: `7i Z-1� �S 7 <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 />