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U� <br /> Total Fee: $ �Q�-'' Date Received: � -f�-�Z— <br /> �:���� , Entered By: C�v�- Permit#: (�?� <br /> � _L�= ;���r <br /> i• � CITY OF ORONO - BUIL�ING 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 /> JOB SITE ADDRESS: �' �j O '��}� (�j��,r� ����, ZIP: S 5 3 �`� <br /> NAME OF OWNER: ehn;s�o p�l �i�i c�.J2.e.R PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: '�g � ���-� Q�,,,,���, , CITY: m 6,,,,Y,.�� ZIp: �S3� <br /> CONTRACTOR: ��Yl �e�� �.a�,rta s�c�J�4y�_ PHONE: ��Sa �y�a �I i I 8 <br /> CONTACT PERSON �,r� �--�K MOBILE/PAGER: ��L ��� y3 �•} - c,� <br /> MAILING ADDRESS: ��5 3 t��,,,;,� �c�,.,,�.`_ CITY: �ti10..����. ZIP: s S 3 �y <br /> STATE LICENSE: # 9 5 a y� a� � �� g ��,,� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> /� �,�"°�/ TYPE OF WORK: N�w Addition Accessory Structure <br /> � �� Move Remodel/Alteration Land �n�_ <br /> .i" � <br /> 1�.�.ata�la� �a►� <br /> PROPOSED WORK(describe in detai�: <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 accor ce with th,e proved plan. <br /> , � <br /> APPLICANT'S SIGNAT �-L- , '�n DATE: _ �j -(o - o i <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 /> 5 <br />