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� <br /> . � �; » � � <br /> 1'otal Fee: $ ,j � C � �; � � Date Received: �`� `"� - �-'� <br /> Entered By: ���-� �� _, Permit #: ,.4� C% '����i _-�- <br /> `-�.�-�,���j � "i '-_ <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 /> JOB SITE ADDRESS: ��3� G�i Ui fl�t'S �l � ZIP: �3 <br /> NAME OF OWNER: �4o C`�-5�- J�, (� , PHONE: (home) �j 3 �7�' <br /> � <br /> (work) ('n!� �2 53�<'Y97S- <br /> MAILING ADDRESS: �,(�,�x �f 73� CITY: ZIP:_y� <br /> CONTRACTOR: �},,P CC'�''S�- �J � ���, PHONE: ��3� ��o��i <br /> CONTACT PERSON: �;�� MOBILE/PAGER: - <br /> MAILING ADDRESS:��x �?��'� CITY: ZIP:�5�7 <br /> STATE LICENSE: #������3 <br /> t1RCHITECT/ENGINEER: �dY� PHONE: <br /> 1�IAILING ADDRESS: CITY: ZIP: <br /> NAi1�IE: REGISTRATION# <br /> TYPE OF WORK: New� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detat�: ��� ) ��d���0��-S <br /> A <br /> STORIES:J��_`�7��,u�FEET OF EACH FLOOR: I��O ��d� <br /> NO. OF BEDROOM : �_ GARAGE STALLS: ATT. � DET.� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_q9� <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 the approved plan. <br /> APPLICANT'S SIGNATURE: '�j DATE: � -3l-Q� <br /> NOTE! Parade of Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. � <br /> 9 <br />