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� y <br /> Total Fee: $ ��{�� ' c� � Date Received: �f�l���� <br /> Entered By: ;��t�... 7z �� Permit#: ��(�/� �c./� <br /> �--ftiL��� � �� 1 Cr�:� <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 R CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: 1�,,7`1 (�'1'i h vi�:-t-c•,kQ f��; dT�L,,�L�,� �-� .-- ZIP: , =,�� 7 � �� <br /> NAI�iE OF OWNER: ��;,��� r{� (� �.��G r��, PHONE: (home)���.:�-�,l��:-�y 1�' <br /> . (work) <br /> MAILLtiG ADDRESS: C,Q7�f P������a��onk'�,rt�N�/'<���!/',CITY: !'� � r� ZIP: �:t��,/�,� <br /> CO��TRA.CTOR: PHONE: <br /> COr�'ACT PERSON: NIOBILE/PAGER: <br /> M.4ILING ADDRESS: CITY: ZIP: <br /> ST�iTE LICENSE: # <br /> ARCHITECT/ENGINEER: PH0�1E: <br /> NI_�II.ING ADDRESS: CITY: ZIP: <br /> N��IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: ( ,�, t�iA 1 U ,�- j��.��,� �Pd�►��r�i+�J � Q�� <br /> , , [ ,/ <br /> �/` `�'' '��,^✓�, njC_ � I/>t' :{�� i" T' t �ti Ai;� �� �/��C �'_st� S��l�l�7-�l{jO��11.1 .5'�'�� �1Q� (�l���S <br /> STORIES: � SQ. FEET OF EACH FLOOR: ��!� <br /> NO. OF BEDROOVIS: _� � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (exclud.ing 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 /> perm.it; and that the work wilI be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ` ,,,,� p�.���.� DATE: %''- ��I��� <br /> , <br /> NOTE! Parade o Homes events require separate permit approval by Police De�artment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 � <br />