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' T y� <br /> 1'otal Fee: $ /�'7_ �� `=-� Date Received: -� - �S- <br /> Entered By: ��-� Perm.it#: � D � � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � <br /> � <br /> E <br /> A.11 information must be submitted in full before plan review �vill be started. . <br /> (please print all information) ' <br /> THE APPLICAh'T IS: (circle one) O�VNER OR CONTRACTOR ^ <br /> i <br /> JOB SIT'E ADDRESS: � ��� � ' � i., �lJ�, ZIP: �� �J� � <br /> NA1�IE OF Oti�'ER: C iQ.V luU C�Q !I��QC�`�-�� PFiONE: (home) �I � I ^('���7`] �I <br /> (work) <br /> MATI�I�i TG ADDF.ESS: �.���Q � �.,��✓s� CI'TY: ZIP: �� <br /> � <br /> CON'I'RACTOR C�i�t�l�l1���{,y�} ���';' t��'� PHONE �� ( Z �j'� /'�Z 3 Z I' <br /> C01�1'TACT PERSON: ��.vlvt��.�-�:- MOBILE/PAGER:�� �- �CF(0��f�3(� <br /> MAII� .Itii'Gr ADDRESS: �I -7 C� 6 bY1 rti �. �'1(,' 1 CIT�S�: 1?7��v``� _ZIP: -_�� <br /> STATE LICENSE: # �12�� <br /> ARCHITECT/ENGINEER: P�IONE: <br /> MA.ILING ADDRESS: CITY: ZIP: <br /> ��,�; REGISTRATION# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �( Land Alteration <br /> PROPOSED tiVORK(describe in detai�: 1�(��� ��--� ���'�('� t�'j��)�C�C ����� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST .ni IATED CONSTRUCTION VALUATION (excludin;land): $ ��� � �(� �� � <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 Build�z� Code; that I understand this is not a pernut and work is not to start without a <br /> pernut; and th�t the work will be in accordance with the approved plan. <br /> � I ( <br /> � <br /> APPLICAi��''S SIGNAT'URE: ;���tiv � l.U(����) DA'TE: `�/ �Ct�� (`�, <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />