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� <br /> � Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan re-;ie«• �vill be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER Olz CONTRACTOR � <br /> JOB SITE ADDRESS: ��� �_:� ��`/1ry' (1.�.�i3�t �['=� ZIP: �-y�;�';�'-� <br /> NAME OF OWNER: �:^,� �_-C��,{L', _ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ���`' �"` ZIP: �-�-��(<:l <br /> CONTRACTOR: j;1}1�'< <�",l_-�i�'�,��_l fl L PHO.�iE: �)�� - jl CT.-�Z <br /> CONTACT PERSON:_��;r�:�- �y}{�( MOBILE/PAG�R: �t�") - ���I( "s _ <br /> MAILING ADDRESS: "�-;• ��,r.,��� i�1 ,,''-` CITY: -1�� ��-��,; r:;� � ZIP: �-��-�.�� <br /> STATE LICEN5E: # .�t" � ��' �� ��l�'� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: (�( �)�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> E5TIMATED CONSTRUCTION VALUATION (excluding land): $ :?�����`) <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 Ciry 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: .. C r ��t- DATE: ``� I~ G1'7 <br /> � � <br /> NOTE! Parade of Homes events require separate perntit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />