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Total Fee: $ ��� �:�L- - ��` Date Received: � �� /t>t <br /> i,. <br /> Enter�d By: /?t_? Permit#: i� --�-�=+'� <br /> . � ��y�r�: - � - . - <"�� %� <br /> � <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: /`.-� `"�U C l�f'�ct_�� r'l v';' ZIP: ,' ' ' ,�' <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> , ��� <br /> CONTRACTOR: �r'� �." ' dat �.�V(C�y 14 u PHONE: �S� "G� .�?'�1,3�J <br /> CONTACT PERSON:�r� ,�.y, MOBILE/PAGER f�(�-' " Z�C `�' <br /> MAILING ADDRESS: 3e(�� � .�v.�,c'rL� X1 CITY: j, �- ZIP: ��l( 2 <br /> STATE LICENSE: # '7��(� <br /> ARCHITECT/ENGINEER: /\�,,.�� C,�E�:c� � 1� PHONE: �=J I �`�7''( l� J�' <br /> MAILING ADDRESS: CI Y: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition_� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> . � <br /> PROPOSED WORK(describe in detai�: �'�����i� l��/�z��7� , 2 `/ X� Z`�� � <br /> �--��z�E /'(,'��c� r��c�t� ��-�t�-e� �L �t e <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: 5 � �-�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. _� D <br /> ___ _ � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): .�j�,� (`��(`� � � <br /> T <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: '� �r�k DATE: G"� <br /> NOTE! Parade o�'Homes events require separate permit approval by Po ice eparlment and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />