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� <br /> � Total Fee: $ , ' _02' Date Received: <br /> . 3� <br /> Entered B Permit#: ���y 7 <br /> Y• � <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 informatzon) <br /> • ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O�CONTRACTOR <br /> JOB SITE ADDRESS: �� l�y.�L�I.I�O�n �0�}GQ ZIP: �.5�,3�/ � <br /> NAME OF OWNER: Sfie�le�m A-�� C6l-►�mPU� PHONE: (home) ,3 ` �c� <br /> (work)_ <br /> MAII,ING ADDRESS: ,�� rYlt�-�(..�l.�X;IJ ��CITY: ' - ZIP: �'j� <br /> CONTRACTOR: {� u�{� ��(l� ` PHONE: ��,�"S 3� � <br /> CONTACT PERSON: S e P� MOBILE/PAGER: ^ <br /> MAILING ADDRESS: 17��.5 („�. I� a4 CITY: �� h1� ZIP: ��7 <br /> STATE LICENSE: # ,�3� <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 detain: l�- r 6 f Q�� �(j� � v f�t� ��c �� <br /> ���.L F � h.cus w �. � � �� � �i-:s rz,� r� <br /> C c� ar S. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /'� .� �� <br /> —� <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 ermit nd work is not to start without a <br /> permit; and that the work will be ' ccordance with e a o�ved plan. <br /> � <br /> r G <br /> APPLICANT'S SIGNATURE: DATE: v� -I ?J � C � <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 />