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., ��'r, , � �' c, j I `� . C � <br /> Total Fee: $ - � � I I � Date Received: <br /> � Entered By: ; � �,�r,(�� � Permit#: � � �� � ,_, �, (`� <br /> ,�, , <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 bR CONTRACTOR <br /> �.v� <br /> JOB SITE ADDRESS: �.� � �Z �_� �-�-1 ��/{�J G'/,�h � 1,� ZIP: '�'� �� � <br /> NAME OF OWNER: � )(,l�l� I �� I��1��V lF' � +--� PHONE: (home) c�5 Z-i-{--j �_�4-S� <br /> (wark) c7 51 - ,��Z,Cf-Z�'� ��-- <br /> 11-1r����G�DDRESS: J'�-{ZZ Li L�l VCq S{-��'i CITY: �/liC1 " �' ZIP: `�St3 � <br /> CONTRACTOR: �)� I"� �" �Gi� ��1 t 1� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �(,,�-� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAl��: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure ��� <br /> -{` <br /> Move Remodel/Alteration Land Alteration � <br /> PRO�OSED WORK(describe in detai�: 2. ��f� / .����C�IE'� �CI�Q E! <br /> ����� �� �a; �` -�i ;:1� i,, ;��1� �'�- :2,�''�-��,�7�' S ` <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � 2c'X 22 <br /> ESTIMATED CONSTRUCTION VALUATION excludin land : $ .� , � ` �, ��� <br /> ( g ) � 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 t e approved plan. <br /> i �� <br /> APPLICAI�IT'S SIGNATURE: % ,�!f�'�;c.���" / � ��c � DATE: /��-C�- <br /> �A <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />