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'I`otal Fee: $ -�/� `� 5 Date Received: /�- � � �C(` <br /> � Entered By: Permit#: f, ; -; -� �� <br /> !��/ici/c�� —�-�%j'� �l�' ��<-�•i�r/� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------- <br /> _ <br /> THE A.PPLICANT IS: (circle one) OWNER OR CONTRACTOR ) <br /> �_.,^_..._ ___,� <br /> JOB SIT'E ADDRESS: �`��" �'��� � -- i.�� . ZIP: SS�7 � <br /> C <br /> NAl�iE OF OWNER: �if�,G�i��� �L��2=� PHONE: (home) ��-�7///70 <br /> . (work) <br /> MAILING ADDRESS: ;�� % � ,�`� CITY• %.������ �; ZIP' ;.» 3 ��` <br /> , <br /> CO\�'RACTOIL � 71 E, �,r �ct „rE� PHONE:. ���- �S-�y`,`' <br /> COr�TACT PERSON: �--°%�- � ��� NIO� E/PAGER: � ;- -C� � <br /> M.4II..I�i 1G ADDRESS: � . �; / t7;:��'��:c�cac� ,�N CITY: J71z�,�vi� ZIP: �5� .,�� <br /> ST�TE LICENSE: # a v/ ���y� <br /> ARCHITECT/ENGINEER: �/i-F PHONE: <br /> NI_A.II,ING ADDRESS: CITY: Z�: <br /> �T e�1IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Stntcture <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: �f�y�-�o ��' o%/ ��,i� ����� ��.lt ShL����� <br /> F�:/ " GL'17r � t- ��v - - - � !�E' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLIIATED CONSTRUCTION VALUATION (escluding land): $ /�� C%�%�= _ <br /> I hereby apply for a buildinJ 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wi1T be in accordance with the approved plan. <br /> A DATE: l�- � �C% <br /> APPLICANT'S SIGNATURE: �:�;���-,' � <br /> NOTE! Parade of Homes events require s parate'permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />