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' � � Total Fee: $ '�� 3 y� Date Received: �--��— �=� <br /> Entered By: �-/, Permit#: f� v � 5 y 7 <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ��f��Z �; v�it,�y S�i+/ /�i/L, ZIP: S�-�3 9/ <br /> ` �f.� <br /> NA�� OF OWNER: G����c�s a•�/�.S PHONE: (home) ,�,/7/—O�-�Q <br /> ��1 (work) S�Yy-O/S'y z✓%�� <br /> MAILING ADDRESS: .j y/�� Cj�'�NrqS7��'' CITY: �y z U � ZIP: SS3 9/ <br /> CONTRACTOR: S'� � � r� s. c=x �6 ��� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> __ _. <br /> TYPE OF WORK: New Addition ''�f Accessory Structure � <br /> ' = <br /> Move Remodel/Alteration �` �and-���f"ion� <br /> PROPOSED WORK(describe in detai�: c�n1,�7'�` ,+� 7v r P��o � °-�����'� <br /> S c+r ca � _S`i c�c,� -f' �a . ,.�r /4 S <br /> STORIES: SQ. FEET OF EACH FLOOR: � '�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � a�. !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 pernut and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: � `/� ' O 4 <br /> / <br /> NOTE! Parade of 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 />