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w . <br /> Total Fee: $ .J'����3 Date Received: �/��/a �� <br /> Entered By: r",6� Permit#: /�►v U!�S� <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) OWNER OR CONTRACTOR <br /> �— <br /> JOB SITE ADDRESS: � 3 �/s L�"!'�-� J� 7� ZIP: <br /> NAME OF OWNER: G! � �(�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ;3 � ��`'�f�- CITY:Q��� ZIP: <br /> CONTRACTOR ��.5 �rJ`'�S � PHONE: �,�a- �'33 aa� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: (� � G � !� • CITY: �S ZIP: .5`S3 �.3 <br /> STATE LICENSE: # ,�4 a3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�:,,Z�jt��`�e���tL�✓��� �. i��� ��'L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding 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 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 accorda:nce with the approved plan. <br /> 7 / <br /> APPLICANT'S SIGNATURE: G2� ��� DATE: ✓� — �!� � �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Nc►n permitted events will not be allowed. <br /> 5 <br />