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�. <br /> / Total Fee: $ �G�;,. ���' Date Received: y= /5" t 7 <br /> Entered By: 'f_,,� Permit#: ;�'9c'� <br /> CITY OF ORONO - BUILDING PERIVIIT 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 O O�NT_RACTOR <br /> JOB SITE ADDRESS: � �,/o/%i►inr.,� �� L�AV�A'�'�} ZIP� �5,�39�._ <br /> NAME OF OWNER: G�.�r7,���,�(�Q>�,, PHONE: (home) �7(p�o2��j <br /> (work) <br /> MAILING ADDRESS: 33,:3 �,b/'/�y�11�� � CITY: , �qy- ZIP: S'3 <br /> CONTRACTOR: �n�L PH�NE: /Dv� - �����, <br /> CONTACT PERSON: � ► MOBILE/PAGER: -----� <br /> MAILING ADDRESS:,�9� L�,�„<,�w�g 1�vL- ,S CITY: !�')�j/� ZIP: �;5��j <br /> STATE LICENSE: #,,3a q/ <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(descri e in detain: �� �xisT' �.9.�/ %>1/,��}// /(�C.�C, «�1s <br /> Cc'�� 5 v r�t+� ti� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �l � <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 i ccordance wi the approved plan. <br /> ;' <br /> APPLICANT'S SIGNATURE: � � ''��`����' DATE: ����� �1� <br /> - � . <br /> NOTE! Parade o�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 />