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,� s.;�otal Fee: $ Date Received: <br /> ' T'atef�d By: Permit#: <br /> M�' <br /> CITY OF ORONO - BUILDING PERMIT A)PPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) . <br /> THE APPLICAI�TT' IS: (circle one) OWNER OR CONTRACTOR � � . <br /> JOB SiTE ADDRESS: j ,-�. .�-��:_� � �� � ' '� `— ZIP: �� �=.��'-'� 1 <br /> L-`�- 17��t�"`-' 1--�-�� �t� <br /> , <br /> � NAME OF OWNER: ��r" �:f�:;-:.'� � '=`Y n�ni t,,�i� L_l , PHONE: (home) � � '� � � s� ,, <br /> (work) <br /> MAILING ADDRESS: � 1-��c� L�r rri�F f�-r`z� CTTY: r�`fUs� ZIP:S�.;�= <br /> � .r_ <br /> CO�"TRACTOR: �i�: �.�}�� �� �� C�-� I�-�S'� , PHOivE: �� � ,`� ,�_S I <br /> CONT'ACT PERSON: �?vr MOBILE/PAGER: 's�C.� — 3 i/ �� <br /> MAILING ADDRESS: ��� i <-- �s��N+.u�r� ��r�!,�ITY: �'1��.�,�:•]:; ZIP: c-�``;�; � <br /> STATE LICENSE: # `'J'">�� <br /> A.F.CHIT'ECT�EI�'GINEER: PHOiVE: <br /> ;YIA ILTiYG ADDRESS: CITY: ZIP: <br /> I�,TAME: REGISTR.ATION# <br /> TYPE OF tiVORb'.: New Addition Accessory Structure <br /> � <br /> Move � Remodel/Alteration s Land Alteration <br /> ,,. <br /> PROPOSED tiVORK(describe in detai�: <br /> STORIES: SQ.k'EET OF EACH�'LO�R: � - <br /> NO. OF BEDROOiYIS: GARAGE STALIS: ATT. DET. <br /> � <br /> EST�VIATED CONSTRUCTION VALUATION (excludi.ng land): $ <br /> I hereby apply for a buildin�permit and I aclmowledge 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 Buildin� 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 i.n accordance wit�h t�e approved plan. <br /> � V � � � 'I -�_ ; <br /> APPLICANT'S SIGNATURE:��� �`���� ���-�_.'~�-, DATE: 1 .` ��� I �� <br /> NO?'E! �Parade o Home events require separate permit approval by Police Departmerat ca�td <br /> � City Counci160 days prior to the event. Non permiited events will not be allowed. <br />