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Total Fee: $ Date Received: � '�� "�� � <br /> �ntered By: ��_�;�;��,� � Permit#: `� �' - '�y <br /> . =—�- <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � �Z 7 L1��i�1,r3 ��i✓ia,,9 f}vt ZIP: `� 5-.3�� <br /> NAME OF OWNER: ���/L �O]"// PHONE: (home) �' Z- 5 `�3 <br /> (work) <br /> MAILING ADDRESS: 11z 7 ��Jw�i� �i.�c/i?.g. /g�ITY: �/'<O/Jp ZIP: 5 5�36� <br /> CONTRACTOR: �Ty CGit/S�- �/GT7O�/ PHONE: �3,3 - 3 `-� ,3 G <br /> CONTACT PERSON:� /G '/�SU�✓MOBILE/PAGER: ��G-Z// / <br /> MAILING ADDRESS: /CyJ/ „�n ST .S CITY: �ip,�i.vS ZIP: SS .� `f3 <br /> STATE LICENSE: # �3 5"6 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration j� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��,� � ��-'�5�/JE _ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���Z�,— <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 /> .. � <br /> / _..___ <br /> APPLICANT'S SIGNATURE: G��� � '� -,% � DATE: � �l O('I <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />