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, Total Fee: $ 9 /�} . � ' _ Date Received: ����-(..�'�� <br /> Entered By: Permit#: ���,�(p/ <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) OWNE CONTRACTOR� <br /> � <br /> JOB SITE ADDRESS: �;Z 5 p L.y/�'1 f�1U �I/E ZIP: ��3 `�11 <br /> NAME OF OWNER: (i�I C'�+t��L r3 P�,M t�1 E PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ct�►�rhP�sSE/� ZIP: <br /> CONTRACTOR: L.,/�t�� j��N1E5 r �+�c_-. PHONE: �S� — `f"75-3-3-3 G <br /> CONTACT PERSON: '�p� I�c�C� MOBILE/PAGER: (�j.�-3�� --?(0 75 <br /> MAILING ADDRESS: �}-U � � - LA t� S i. CITY: �tl�}y�s�Tt4� ZIP: S.-5 39 � <br /> STATE LICENSE: # �Za� 7 y o %� <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 /> PROPOSED WORK(describe in detai�: �i�w � ��5�=- <br /> STORIES: �� SQ. FEET OF EACH FLOOR: �sN�r �,� M A�� � ��-�o z� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. _� DET.� r �� °� <br /> �--�. <br /> ESTliYIATED CONSTRUCTION VALUATION (excluding land): $ �j�� U"� � <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 accorc�ance v�ith th�/�pproved plan. <br /> . / � <br /> APPLICANT'S SIGNATURE: v�� � " DATE: I3 d� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 <br />