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Total Fee: $ L.�.�3� � �a Date Received: �'% � <br /> : Entered By: !�, Permit#: ��� ��' <br /> , <br /> V' <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 /> ---------------------------------------------------------------------------------------_`----------------------- <br /> THE APPLICANT IS: (circle one) OWNER�QB �ONTRACTOR ' <br /> --- <br /> � _ <br /> JOB SITE ADDRESS: ������,��_ � ul.ti �ic�<' �1 f���� ZIP: <br /> NAME OF OWNER: �� ��� �i�� C��, ���� � PHONE: (home) G' "�;;�y' <br /> � (work) t/�,%%�. �;c��;r� <br /> � ���) � <br /> MAILING ADDRESS: ' ��,���'�%� � , �=< � � CITY: �,���_ L���i�c�_ ZIP: <br /> � � � •� !� � � � ��— <br /> CONTRACTOR: � �-�-��� � .� �� ����, �,� � PHONE: �" �fS—�< <br /> CONTACT PERSON: �- lCI� MOBILE/PAGER � ,-��- � '��_ � <br /> MAILING ADDRESS: �_U( � 7,� � ��"� CITY: ZIP: <br /> STATE LICENSE: # c"v d��7��'� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ,� Land Alteration <br /> ' � <br /> PROPOSED WORK(describe in detai�: �;: ,��u�-"�� ��;�-����- <br /> STORIES: � SQ. FEET OF EACH FLOOR: . ��' <br /> NO. OF BEDROOMS: `� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i (;aG�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 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 acoordance with the approved plan. <br /> �. i � �' � ��a ; <br /> ��� i, / � � � <br /> APPLICANT'S SIGNATURE: � � � ���` DATE: ��� � �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />