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, , � <br /> Total Fee: $ Date Received: Gl/-�'i/4� <br /> Entered By: ,G! Pernut#: �1d � <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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: y� (�' � �/G` ��f�;,� � ZIP: <br /> NAME OF OWNER A _L , Z E 55 L E' ��. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> SISTCrL. <br /> • l�'1 r4�-Y I.(J_, D A- �.� �. PHONE: 9 � l – Z�{ �J U <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: S��FS Con�ic..`�' ���g�ITY: S�Fi (t�c✓ao g ZIP: �5 3�/ <br /> STATE LICENSE: # <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�: 12 C t'G�- G C— � �,0 � T�` S %E't'-� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �C� � � �t� <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 /> �02 R� c- �GS LE�L <br /> APPLICANT'S SIGNATURE: �� DATE: /� 9 <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />