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Total Fee: $ �j;�� �� Date Received: <br /> " Entered By: .-�� Permit#: � � ��,7 3 <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �''f�_� �vC'� C-/�J �C ��i/,1 C7 f. ZIP: -5 � 3 S � <br /> _._-- ��f Z- � <br /> NAME OF OWNER: �UC- ��-(�/2f /-#- PHONE: (home) �/i 1^ —/ S I-� <br /> (work) <br /> MAILING ADDRESS: �i��-✓w � - - CITY: ZIP: <br /> ' <br /> CONTRACTOR: �/� S_/ � � E=�C,-5 PHONE:.��/-�i L�/��`7 <br /> CONTACT PERSON: - � - ,�c, MOBILE/PAGER �t/z -�',,{%U - ,-r'�,j-�'cY� <br /> MAILING ADDRESS: � t= . L CITY:S;=%��� ZIP: �� �� <br /> STATE LICENSE: # / ,,J <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZII': <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: LG �C�(:� 1���-��Lv L�+�'cz��c.� ,��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ O�fr j�'�� <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 /> �. <br /> APPLICANT'S SIGNATURE: �J��` DATE: .,�;'>'>3` � �' <br /> � . <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 /> 5 <br />