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� <br /> r <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 /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE�OR CONTRACTOR <br /> JOB SITE ADDRESS: �� s� ti r�tia m A--� ���v� ZIP: � ; 3 � b <br /> NAME OF OWNER: /�g,z-�� �,A-;�.,� PHONE: (home) �17�-�0 7 3 S <br /> (work) �' 3 � -/ �.c� <br /> MAILING ADDRESS: ,�:>� �,a.�o rr�u r����� CITY: 6 r��:: ZIP: ;-s �,;� <br /> CONTRACTOR: /�f��-�� L-�- ��� PHONE: �u.�.�, <br /> CONTACT PERSON: c,�,N,.� MOBILE/PAGER: �Iv;� e <br /> MAILING ADDRESS: ����� CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: : �,n-��, (/YI�,.�� (�+��y ) PHONE: ���M� <br /> MAILING ADDRESS: :; �t�n� CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration�_ <br /> PROPOSED WORK(describe in detain: /)'�c� ti�� .� !� ���c'�r,�.'�4 y P �� <br /> ��� f� �'z��;i �;� � f�- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �..�C 0 0 • v c <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 accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: -1 v DATE: v cP�c �r/5'lo <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br />