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Total Fee: $ ��'Z�, ` ��� Date Received: 4> ; ��i <br /> • Entered By: : t Permit#: `/� <br /> ; <br /> ,j <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 OR CONTRA-��C Ri <br /> �.�.__.____—_._._-= <br /> JOB SITE ADDRESS: �_��i�� �.,���'����C ZIP: ����cj� <br /> _� <br /> NAME OF O"'�TER: �_�!T/� ���-'2 fL5't��c� PHONE: (home) <��� /C)�� <br /> (work) <br /> MAILING ADDRESS• � �" `" �� �CITY: ('J/2r�,�;C; ZIP:;��11 <br /> i� , �, <br /> CONTRACTOR �,, � �:�_��-;,.�'�,_•i�_-r,r%,%,/���"/"t;�;; ,��y✓i�PHONE: � �'� r �,J� f-� <br /> CONTACTPERSON.���;�- ,,,, 1� ,;� �_- ���j f MOBILE�PAGER; ��. ;�%� � � '� �'' <br /> MAILING ADDRESS ;;:'- =; j�„�-; i�_t_I��I�����_.;�'�C i�a CITY: ��°'��j k-' r+ ZIP ��>"- <br /> STATE LICENSE: #�;�_;-�,1�_ <br /> ARCHITECT/ENGIlVEER: 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�:�-,.,`•�--,�!�;Tl�f�, _ _�_,, ;.:v,�1� ���'�,c_� <br /> ��`��_% �-�� �r' ,-+����`s�r�r����i= � ���,_;i_ ;�.�,�r.�s` <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> : ._— .�� ;. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, ; �.;/'' `% _ <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 /> , <br /> APPLICANT'S SIGNATURE: � _ " i % , - DA''��: /- - � %' ���� <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 /> 5 <br />