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i // <br /> Total Fee: $ �/,� �� �� Date Received: ,�.�_�' � J <br /> Entered By: _ Permit#: �'�, _3� <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 /> • ----------------------------------------------------------------------------- --- - ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR � <br /> ; ,`�_.____.--�'� <br /> JOB SITE ADDRESS: �(� `i ��r: ,, '� ; �"�� � � r_ ZIP: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR �J � i t����� ,l�.�.v�.1e�� �Y�"'��� PHONE: �b� -• O���O <br /> CONTACT PERSON: �3 C.�lLI�b N PvIOBILE/PAGER: �5c�- �J Oa I <br /> MAILING ADDRESS: o���1 � �. (-�� S� . CITY: w a��`� ZIP: �5�3� <br /> STATE LICENSE: # �;��b3��f'���t <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�: <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: ���C� i��0/n , :.���v �°' '^�^- <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��'� , < C'G' <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 ac ordance with the pproved plan. <br /> T' SIGNATURE: � `� � �`�"`�- DATE: �� �� � <br /> APPLICAN S <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 /> 9 <br />