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Tota.l Fee: $ Date Received: <br /> Enter�d By: Permit#: <br /> � . <br /> CITY UF ORONO - BUII�DING PERNIIT 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 CONTRACTOR � <br /> JOB SITE ADDRESS: �v� �e`/` 'e— ZIP: � <br /> NAME OF OWNER: �� � s��" ���v _ PHOiVE: (home) <br /> (work) <br /> 1�IAILI�i TG ADDRESS: ��- - CI'rY: � �'� o ZII': <br /> CONZTtA.CTOR: 'C����"/'1 ��d� S PHOYE: l G 3 " S�/�^�.3Q� <br /> CON'TACT PERSON: �y�� 1�IOBILE/PAGER: <br /> MAILING ADDRESS: 7ce r r`�yi iv . CITY: �� ZIP: S3� <br /> STATE LICENSE: # �5��_ <br /> ARCHITECT/ENGIYEER: PHONE: <br /> MAIL�'G AUDRESS: CITY: ZIP: <br /> Nt�ME: REGISTRATION# ' <br /> TYPE OF <br /> WORK: New " Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: T���d{�/�''�aa'� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS:� GARAGE STALLS: ATT: . . DET. _ .��_ ..3::. ... _,. _ <br /> � ��� � <br /> ESTII�i IATED CONSTRUCTION VALUATIO\ (excluding lan.d): 5 � <br /> I hereby apply for a building permit and I acknowled�e 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 Buildina 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 acc nce with the approved plan. <br /> APPLICANT'S SIGNATITRE: �1 DATE: � � d� <br /> NOTE! �arade o Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events wi11 not be altowed. <br />