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Tot�l Fee: $ �� ��' � ��-� Date Received: <br /> Entered By: ;i�y�' Permit#: ��%.; .�� <br /> CITY OF ORONO - BUII.,DING 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: "�(C� 8� /-��1'� l.�c�c� (�G� ZIP: �5,���/ <br /> NAME OF OWNER: . �.S'c�n %�P t S PHONE: (home) ;�`'%�5�(;.�.5 <br /> (work) <br /> MAILINGADDRESS: f(�8 �'�iwov�;� � CITY: /��..�cl ZIP: S� <br /> CONTRACTOR: s'� /'�' <br /> PHONE: <`� •� <br /> CONTACT PERSON: '' MOBILE/PAGER: �','Z-522Z <br /> MAILING ADDRESS: - � CITY: ' ZIP: <br /> STATE LICENSE: # �-200- 373-��i��� <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 detai�: ��a�r� 7 {��' ��r����a��.� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 permit and work is not to start without a <br /> permit; and that the work will be in acco a c i the approved plan. <br /> ,�, <br /> APPLICANT'S SIGNATURE: ./� '�~ DAT`E: ��`��" �Z <br /> NOTE! P rade o H ts require separate permit approval by Police Department and <br /> City Council 60 days p ' to the event. Non permitted events will not be allowed. <br />