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� <br /> 'Tota.l Fee: $ � I��o-C�� Date Received: �P -- a?�- �� <br /> Entered By: ' Permit#: -�� �� <br /> //<o,Z� <br /> CITY OF ORONO - BUII..DING 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: (eircle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: 3�a � � ��<<% ��'� Z�: <br /> NAME OF OWNER: G,`I� � ` ��e- PHONE: (home) -� 7 q 7 C� <br /> (work) , ?la- � d <br /> MAILING ADDRESS: Cc, ZQ�.`f� CITY: �'`�1�— ZIP: <br /> CONTRACTOR: 0 k V V`L ���j PHONE:_ <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �(9 � 131 G c�� �CITY:��ev����d'��- ZIP: 5�3�.� <br /> STATE LICENSE: # a0o 0 3d"1 l <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�: C!� Y'�Pi E 0� ✓�� � v�� <br /> ,1 i� ��i�( or� � �'c� , <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: , � _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� �vv «b b <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 pemut and work is not to start without a <br /> pernut; and that the work will be in ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �G�-" DATE: (J�(� S r 7 1 <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />