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� Total Fee: $ ,,3 '/�8,3 Date Received: ���Z--�/`�S <br /> Entered By: ,�^� Permit#: ,•'��p��SS� <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 OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: � �� , �? � y�v�-� = ZIP: <br /> �, <br /> NAME OF OWNER: n� � �� � `' '' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:`-��(�< �, �(`w� �r CITY: ��� ,; t�s r'� ZIP: -_ <br /> �7�'� <br /> CONTRACTOR: ; �, �_� PHONE: �-� �_� ��� <br /> CONTACT PERSON: "� c, U- ,� MOBILE/PAGER: (V��tG l; <br /> MAILING ADDRESS: �� �c� �(�;�,- ,�u�CITY: _�rar�; ��. r• �� ZIP: r'_;��_( �, <br /> STATE LICENSE: # �-,�;,`�,= ..Z <br /> �— <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 /> , •� _,� . �, < <br /> PROPOSED WORK(describe in detai�: � ,.. c � .` , . < , . " <br /> ( � - . <br /> �.,._4.L..� � ' __ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 /> APPLICANT'S SIGNATURE:�; ' � ' ���_ DATE: F � , �7 <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />