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� <br /> Total Fee: $ Date Received: <br /> , Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT 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 O �ONTRACTOR <br /> ,, -- - <br /> �__+__--- <br /> JOB SITE ADDRESS: �� �� � Y G��1��;J � ''�L ZIP: <br /> NAME OF OWNER: l..�=� ������ PHONE: (home) <br /> (work) 4Z-� �C��3 <br /> MAILINGADDRESS• ��'��7�..� �Y�i��'�'G> �i���!r--�� � CITY• t��vrJ,:> ZIP: <br /> CONTRACTOR: �I�f!��.�=�l'��i I<°.� i�-+�ti�^�,�:Y �::�<<.�_;,;�.�:,�; PHONE: ��O ',�'�"�;� <br /> CONTACT PERSON: .�a,�/ ,(�n✓��;w�� MOBILE/PAGERQ���7-�Z�i <br /> MAILING ADDRESS: F'v.��x 2 4 0 ���S CITY: ���O�t<�� ���.;' ZIP: ��Si24- <br /> STATE LICENSE: # '3 �iL� <br /> ARCHITECTlENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> 1VAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> R�PrI�/� <br /> PROPOSED WORK(describe in detain: lQ��'�'%��� �''/'%'Ro� �L�/� ���� 5�'�TL°��� ��J°L'`�r;`, <br /> STORIES: = SQ. FEET OF EACIi FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTliI�IATED CONSTRUCTION VALUATION (excluding land): $ L ��v� �'�' <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 /> , �! �_. <<-_ :� - <br /> APPLICANT'S SIGNATiJRE: ��� ���'4 ` `� DATE: ✓ � {' � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />