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♦ � i <br /> Total Fee: $ //3 • '7� Date Received: <br /> Entered By: �',� Permit#: / �/C�� <br /> CITY OF ORONO - BUILDING PERMIT 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: � <� `� `� I `'�r2� '�' �-m� ��� i2 ZIP: <br /> NAME OF OWNER:��`� �– (� �V��"�-1�-'rJ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> �. , / ; ��� ��� 7,Z-1c�5 3 r <br /> CONTRACTOR: , � �� PHONE: �-� � �I I � <br /> CONTACT PERSON: � �� MOBILE/PAGER: <br /> MAILING ADDRESS: =� `) � S L;-��.�t,:7, , h/r,CITY: ��} b„�,, �� ZIP: SS��;� <br /> � <br /> STATE LICENSE: #�3�-T <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> l�JAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> , ,_ � _ <br /> � ' <br /> �� :���"� `� 'Y ,� � ��1 '�-�� � <br /> PROPOSED WORK(describe in detai�: ( ��lfi; �� ,.�, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �,,._, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �% 7 S — <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 and work is not to start without a <br /> permit; and that the work will be in accordance'�vith e approved plan. <br /> � �� ' % �_-�� <br /> APPLICANT'S SIGNATURE: DATE: I I -- � ^ � <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />