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a --- <br /> Total Fee: $ Date Received: <br /> Entered By: Perm.it#: <br /> CITY OF ORONO - BUII..DP1G 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�t1R_CONTRACTOR_i <br /> r �- . <br /> JOB SITE ADDRESS: _J � Y �C�C l e��<J�� ���� ZIP: � -� � �r � <br /> NAME OF OWNER: ���C � l��' �� ��� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ,.�� `I ��c�C�'��"`� CITY: �:>�'"��' .-:_, �_ ZIP: �� �� �� / <br /> CONTRACTOR: �'� ��,-;v�S�a �Q L- �"����'��'.�'��� PHONE: �� %3 � ���' �� <br /> CONTACT PERS N. C1 %e3-G 6��,-�.ti�S �10BILE/PAGER: <br /> MAILLVG ADDRESS: ;��,no -Tc' �'�-c:�i �,<r� CITY: �%.� 5 ��-�-� ZIP: S� :� �= % <br /> STATE LICENSE: # 6�_�7 7 <br /> �RCHI I`ECT/ENGINEER: PHONE: <br /> IIAILT'ti G ADDRESS: CITY: ZIP: <br /> �T�,�: REGISTRATION# <br /> TYPE OF WORK: New ------�ition Accessory Structure <br /> Move �Remodel/ teration Land Alteration <br /> '� �---- <br /> PROPOSED WORK(describe in detai�: /��' -�— � %/�C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ i�-� ; � �� � ' �''J <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 pernut and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> -� �� � <br /> APPLICANT'S SIGNATURE:Li/��G�� � " v�-2--� DATE: � �-� �v — I % <br /> NOTE! Parade �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 />