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, • Date Received: <br /> Total Fee: $ <br /> Entered By: Permit#: <br /> CITY OF ORONO - BU�.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirEt all information) <br /> TSE APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB STTE ADDRESS: <br /> `-�.�� C,�-b, �� z�: <br /> lh'AME OF OWNER: /" ��'��7' ����e� PHO�IE: (home) <br /> (work) <br /> 1�IA]LIti'G ADDRESS: CTTY: Z�: <br /> CONT'R4CTOR: �inc)�h� �-n�,� �'i��' �'nL PHONE: ''171-9`l�"�� <br /> CONZ'ACT PERSON: �71 S� n MOBILE/PAGER: . <br /> 1�IAILIYG ADDRESS�?6i�s' B�r�� ��. CTTY: :s��� ZIP: SS� 3 .. <br /> STATE LICENSE: # �d/ 6 �3� <br /> ARCHITECT/ENGI�YEER: PA��� <br /> ZLAILl�'G ADDRESS: CITY: ZIP: <br /> N��,�: REGISTRATION# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �'� d�� � �^�� <br /> STOR�S: SQ.F'EET OF EACH FLOOR: ___ <br /> NO. OF BEDR001�iS: GARAGE STALLS: ATT. DET. <br /> ES'Tll�i IATED CONSTRUCI'ION VALUATION (excluding lancn: $ 3�� <br /> I hereby aoply for a buildin�permit and I acknowledge that the information above is complete and <br /> accurate; chat the work will be in conformance with ihe 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.acc danc with e pproved plan. <br /> APPLICANT'S SIGNATURE: DATE: (9��7�� <br /> � NOT'E! Parade qf Flomes events require separate permii approval by Police Department and <br /> � Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br />