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Total Fee: $ �, /� � 0 5 Date Received: <br /> Entered By: ,,�_ Permit#: /2 i75 <br /> CITY OF ORONO - BUII,DING 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 O CONTRACTOR <br /> JOB SITE ADDRESS: L G-B�,�,�,C,� � � �,TP: 37 c�� <br /> L.r� /r��n�o/r.o-wa�A 5 <br /> NAME OF OWNER: ��/�,���i��;l��PHONE: (home) <br /> MAILL'�1G ADDRESS: l�D, �{� '.'� CIT'Y: �work)��z �ZIP:��� <br /> CONTRACTOR: _J�� �� lvo��'Lt��PHONE:�1Z 5'3".�2, 7 Z(� <br /> CONTACT PERSON: r j, „�(„��� „ MOBILE/PAGER: <br /> MAILING ADDRESS: /�A' y�?z,�=� CITY: ZIP: �3�-yc�7 <br /> STATE LICENSE: # ���{�.�.��_� <br /> ARCHITECT/ENGINEER:�,�-�w�� ����HONE:� 37-'S/5�t� <br /> ' MAILING ADDRESS: ?�'j CITY�,, ��;�nZIP:�� <br /> NAME: REGISTRATION# �Zp�-1 '� <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � AO , � �,' � <br /> STORIES: �/ SQ. FEET OF EACH FLOOR: ��J'[� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. �G DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���,��� .u> <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 acc ce w' the a plan. <br /> APPLICANT'S SIGNATURE: - ATE: jfJ��'j� <br /> NOTE! �arade of Homes even 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 /> 9 <br />