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r� <br />� <br /> Total Fee: $ Date Received: <br /> Entered By: Permit #: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease prrnt al/information) <br /> ----------------------------------------------------- ----------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3��` �v`/ {'�L,q.cE ZiP. S'.5 �`� / <br /> NAME OF OWNER: �� �.t��i� PHONE: (home)Q.�z` �l7� '��3,� <br /> (work) �o�Z -G 7 3 — S/ 70 <br /> MAILING ADDRESS: 3 S/6 ��Y �L.�ce CITY• l�y�4 r� ZIP• Ss3 q/ <br /> CONTRACTOR: scl -� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> -------- <br /> Move Remodel/Alteration ?� Land Alteration <br /> PROPOSED WORK (describein detai�j: R�++�� Z �°�cM �"��'�' �h�tJ � �e.p(�ce <br /> 1Y�'M'h 2- l�.h.►}J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �oo , o� <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 the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATUR . �i�. W{.,�.' DATE: "�z��03 <br /> NOTE.� Pa�ade ofHomes events require separate permit approva/byPo/ice Department and City <br /> Counci/60 days prior to the event. Non permitted events wiJ/not be a//owed. <br />