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` Total Fee: $ Date Received: <br /> Entered By: Permit#: /yb 7 '70 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �ill information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �L/yS �r i.'����e `��--rl �u�T ZIP: SS_� `'1/ <br /> NAME OF OWNER: �� t7-�c yN /e���o�. PHONE: (home) (�la -`{l/-�� 3 7 <br /> (work) <br /> MAILING ADDRESS: �d rvu aa vc��-� CITY: (,ci�z y zd� ZIP: ��3�/ <br /> CONTRACTOR: tV'/ � 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 /> NAME; REGISTRATION# <br /> TYPE OF WORK: New ddition Accessory Structure <br /> Move emodel/ teration� Land Alteration <br /> � <br /> PROPOSED WORK(describe in detain: S�n � + � w� (�� ���-� �- -s� � <br /> a ./`c�_ �� r 2 .� <br /> STORIES: I �z-- SQ.FEET OF EACH FLOOR: G�y� �' a�� � ' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> r-- <br /> ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ '���� �? J <br /> I hereby apply for a building permit and I aclrnowledge that the inforination 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 pemut 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: �' �— � DATE: � 1 7 /`'J� <br /> � <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 />