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` 'i'otal Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOle1 <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: ��'�� <br /> ��/V'iC v�_� ZIP: � ��/ <br /> �, .y� � ,�N� <br /> NAME OF OWNER: %c�,,, �-/yd�n PHONE: (home - l�f.��C%� <br /> (work) � ;�., <br /> MAILING ADDRESS: �4-7 � �-Yf t�C ��'�� CITY: Ctic u��4 ZIP: ":� / <br /> CONTRACTOR: ���-F PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: .5�� (� PHONE: <br /> AZAILING 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�: 'is � -c� z � �,tc �c(-�. <br /> � , <br /> • ,� .� �. .: � C �c .d( ' " i r? <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �,�C),G�' <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 /> APPLICANT'S SIGNATURE: c/t`�- � �,_,�,,,,_ DATE: .� ' � 7—�� <br /> NOTE! Parade qf 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 />