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! <br /> Total Fee: •$ /,rJ'8�j�.0 3 Date Received: <br /> Entered By: � , Permit#: Q (���Q <br /> CITY OF ORONO - BUILDING 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�ONTRAC O <br /> JOB SITE ADDRESS: ��y� /,.i�1,E CI,�E'�".�l��1 ��L-!� Z�� <br /> %�iE'E/Y.'�iV �4��z� <br /> NAME OF OWNER: 'T"Nv���3 �sv� i¢S.�"/,� PHONE: (home) �r'?5�'Z7�.c� <br /> (work) -� <br /> MAILING ADDRESS: (��C', �'�t��tt;�1 l� r�_ CITY: ,��,q_%��ZIP: '�-{�'�=�J <br /> CONTRACTOR: '�i,p�.►�a L�����..c.�rn�tiT-,�-�,c._ PHONE: ��'�21 �(G`f� G (���L <br /> CONTACT PERSON'���r� C v'M-�-5�i.; MOBILE/PAGER: �G:.t Z) �'S`U ` `I(�G t <br /> MAILING ADDRESS: ��G S. p?,{Zc,��c,��r��' CITY: �v7-;/?,�r'-,��'-- ZIP: � -:,'�i <br /> STATE LICENSE: # '��'�3'��'�`r <br /> ARCHITECT/ENGINEER: _-�-�y�.f.�.�� 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�: �;:;.,,= ,��,�y,� ; `}��;_,. ' "�r�;" t�,.i���i�t��- <br /> STORIES: .S' SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: =�'� GARAGE STALLS: ATT. � DET. -- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � g�� a� <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 accor nce wi the approved plan. <br /> � ,� � <br /> APPLICANT'S SIGNATURE: �� �� � DATE: ` ''; ;-,��" <br /> NOTE! Parade of Homes events require separate permit approval by Police Departraent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />