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Toxal Fee: $ Date Received: <br /> ` � Entered By: Permit#: <br /> � <br /> CITY OF ORONO - BUII..DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICAl�'T IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: S� / �� Z�= <br /> NAME OF OWNER: �F,�,e/ ���� /� PHONE: (home) <br /> , (work) <br /> MAILING ADDRESS: /S�5 ��„s �.�-kP ���TTY: ZIP: <br /> CONTRACTOR: �,�,e c/ 8���T— PHONE: y7 � 'S�S�_ <br /> CONTACT PERSON:_�m Tri'✓`Y MOBILE/PAGER: �g�-G a 3�/ <br /> MAII.ING ADDRESS: 3yo L e�F S T. CITY: Qlc'vrt� Z�: S�3 S-6 <br /> STATE LICENSE: # Z�/� <br /> ARCHITECT/ENGINEER �- PHO�TE: <br /> 11ZAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ]c�2 0�F f' ti°� - ���� <br /> l l''�f/1 ��v,e�GE 3� s'q, <br /> STORIES: / SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _Q GARAGE STALLS: ATT. DET. � <br /> ESTIlVIAI'ED CONSTRUCTION VALUATION(excluding land): $ g.�� � . <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 acc�e with the approved plan. <br /> APPLICANT'S SIGNATURE: �l DATE: /`oZ - /� -�S� <br /> NOTE! Parade of Homes events require separa e permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. � <br />