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� <br /> Total Fee: $ -� �-'���� � Date Received: <br /> ' Enter'ed By: �-,; Permit#: �J� ��;tl � <br /> � <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan re��iew will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------= <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: //:3� N, N���� I�i'�c�� ZIP: .S'S�j� y <br /> NAME OF OWNER (�j�� � �..,��'��� �� PHOi�tE: (home) �l7.:� - 3/S Y <br /> (work) ,�-� � J�"3�, <br /> MAILING ADDRESS: ��i'��� E� CITY: ZIP: <br /> CONTRACTOR: �TEK�-t' J�K,�� PHO�TE: <�7� -s�y�i <br /> CONTACT PERSON 7, Tc,�,r y MOBILE/PAGER: <br /> MAILING ADDRESS: ��� l� r3r�+�� �f ��'. CITY: /'�,,��1N i�'�s"T/3 ZIP: � <br /> STATE LICENSE: # �$/s <br /> ARCHITECT/ENGINEER: /l��`� '� PHO�tE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE: REGISTRATION# <br /> k,,�,,��;�c% t�.�C'� ��/r �°i�C . ille µ% i�c'�' � . <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: <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 pernut 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 Ciry 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�th.__e approved plan. <br /> --,�-- •;1 � / <br /> APPLICANT'S SIGNATURE: ��. ' � DATE: C- � 5 ' i S�' <br /> __> <br /> NOTE! Parade of Homes events require separa it approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />