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Total Fee: $ %d �� 7� Date Received: ����i ''� <br /> Entered By: C� Permit#: /C>/�,/ <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 OR CONTRACTOR <br /> .'' �"`� �/�//� ' S7�`�Gl� ZIP: 6j� � � <br /> JOB SITE ADDRESS: �� � � <br /> c-�� <br /> NAME OF OWNER: �vtl �y' G-�����/ � PHONE: (home) �l ��/��—_ <br /> , (work) 7 � � '� <br /> MAILING ADDRESS: ' � � iV/Gt f' S',/�d��TY: c_� ZIP: �S�` / <br /> _ � <br /> f1 ' '�� <br /> CONTRACTOR: l�.�','� �.,_ �"�_-'���'�,,�":-_ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: Z�: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: EITY: ZIP' <br /> N�,�: REGISTRATION# <br /> TYPE OF WORK: N�w �_ Addition Accessory Structure � <br /> P�Iove Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�:� Q�.c.K <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 pernut 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 the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �� G�' �� ,��.�� DATE: �/� —/ �'� � � <br /> NOTE! Parade o�'Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />