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Total Fee: $ ��� -� : �( � Date Received: fl��'' ���"/ � � <br /> Entered By: ,�;�fL�. Pernut#: {�� "`/�G' �; <br /> ;,: �...,1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � ;},�;, <br /> l 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 ONTRACTO <br /> JOB SITE ADDRESS: ai�����' ��/'� �,��:�.� C,y� z�:. �-`�A"_s=�.�' 1 <br /> NA:'�iE OF OWNER: ����� -��,1.��� �2���.v._ PHONE: (home) ����{�l"=�`�'3C� <br /> . �- (work) <br /> MAILI�i TG ADDRESS: �"°Z��,� )'��� (P����CITY: �r�n�;. ZIP: �__;.�� �, I <br /> �'�t. <br /> CO\'TRACTOR: ��w,o �-Z . � , PHOl�TE: �v��-�I -��-I�� <br /> COti-TACT PERSON: � i MOBILE/PAGER: <br /> NLAII�Pi tG ADDRESS: ���'S � w,� S�' CITY: ZIP: _�"�S-S��/� <br /> ST�,TE LICENSE: # �����_3 J� <br /> � <br /> ARCHITECT/ENGliYEER: �-- PHOi�TE: <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> �1A_I�LE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��;t;'L ;,t;L�,�1 .�[y"}'t'�7�/t 4 �r2�CS jc�CE? f����'�1 <br /> i,�l J i;n���.�,�� _S`�c�� �t,�v�K��,, l��•�� inl�.vs.:�oLvS � .�cxr�- a r�.�rxj r��� S a,. <br /> .- <br /> fX <br /> ��T�� �-t�.�r;h� E�►�����r' ��'-.�.�s�!� a r��' n�.a j�r a c�c�.�- :�':th a. n�c•� h e�4.� �r/�'� <br /> S T O R I E S: x ��. F E E T O F E A C H F I.O O R: <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> �, <br /> f�✓l��r' r b��wt ;i'!1`c `�1 z �.�:i�T i�►�" �"��,�:-+� ,@,,: <br /> �STL�IA.TED CONSTRUCTION�ALUATION (excluding land): $ ''>t� . ��'�` �� <br /> I hereby apply for a buildin; 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 wiR be in accordance with the approved plan. <br /> ; <br /> APPLICANT'S SIGNATURE: � ,�;,i � � ''��� DATE: `` i �" � <br /> . , <br /> NOTE! Parade of Homes events require separate permit approval by Police De�artment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 ' <br />