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r <br /> � Total Fee: $ ��j: �� Date Received: <br /> Entered By: �� Pernut#: A D (,�a7 <br /> MJ�'� CITY OF ORONO - BUII..DING PERMIT APPLICATION <br />►1 �,� �7 <br />,�' G 'jI�I 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)C��OWNER�R CONTRACTOR <br /> �----_v-�--- <br /> , � '� �_-j ��. <br /> JOB SITE ADDRESS: �t'� �� ���_�-� j�i�� ZIP: `�:% ../ � <br /> ���%�� <-- �---��-�,-- ,�'",-�, /'�_, _ _ - <br /> ��� ��'�1 � ` `.'.�� `�C � _ �; .,� �� <br /> N��iE OF OWNER: �r �., � ��-� � PHONE: ome) <br /> (work) <br /> /[ , <br /> MAILING ADDRESS• ,�r�.;C= �,`�'��'��i �,� CITY• 7 --� ZIP• " --��"". <br /> ����-�l � <br /> CO\�'RA.CTOR: PHONE: <br /> CO`�TACT PERSOtiT: MOBILE/PAGER: <br /> M.AII.ING ADDRESS: CITY: ZIP: <br /> ST�TE LICENSE: # _ <br /> f''�(C ��i�� f C...__.:=L'�: c :_i')j-...,�'( --_ , <br /> _ ,. <br /> : t� � <br /> �. .�— ) ` <br /> t�.RCHIT'ECT/ENGINEER: ��� ,. f �� ` PH0�1E: . , ! .__�"=� f—�`�-�'C <br /> �IAII..ING ADDRESS: ' � � � �Y�� ���-� CITY:'��� f_ � ZIP: �:=;,/��'�;� <br /> N�IIE: � , - . �--� � REGISTRATION#_�°� <br /> i <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ��"�� Land Alteration <br /> PROPOSED WORK(describe in detai�: '% E� �� , ��� � c�_-� �� �. � � . <br /> � ;. � <br /> _ _ _ <br /> --� �<.: r <_ r � �j _ - .' 7 C�. <br /> STORIES: _� � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOViS: � � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ ,-�_ r�'�= �" <br /> I hereby apply for a building pernut 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 BuildinJ Code; that I understand this is not a permit and work is not to start without a <br /> pei-mit; and that the work wiTl be in accordance with the approved plan. <br /> , <br /> ' --� <br /> APPLICANT'S SIGNATURE '��t,IIT,',/'� ,� � .,.J�l/,. DA,'TE, .� �Z �;..5 <br /> 1�'OTE! Parade of Homes events require separate permit approva�-�y Poliee Department and <br /> Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />