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Total Fee: $ Co�•o� Date Received: <br /> Entered By: �. Perm.it#: �O a�z� <br /> CITY OF ORONO - BUII�D1vG PER1l�IIT 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 O� CONTRACTOR <br /> �--- <br /> JOB SITE ADDRESS: �f f"I��yI'� � � ZIP: � � � Co <br /> ; l ti�� c�- �v �� /�• I'r�� t� �'`7v`�- �� � — '�J `�� <br /> NANIE OF OWNER: i� -i �� �-��t��� H0�1E: (home) — <br /> c..� G�-��-� �r�� c�5 �-- �� / `��'�5 <br /> �ti� �� <br /> l�IAIL�'G AD RESS: 1 CI'I'Y: ZIP: _ <br /> �.��� �' -j � !�- � ,%�✓�� ����� <br /> CONI'RA.CTOR: PA��� <br /> COi�1'I'ACT PERSON: MOBILE/PAGER: . <br /> M�iII�ING ADDRESS: CTTY: ZIP: � . <br /> STATE LICENSE: # <br /> ARCHITECT/ENG��ER: P���� <br /> 1�IA.ILING ADDRESS: CTTY: ZIP: <br /> N�v�: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> —._�� <br /> PROPOSED WORK(describe in detain: � � ' 1 ' " ���' <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOi�LS: _ '�� GARAGE STALLS: ATT. �_ DET. � <br /> � <br /> ESTI�i IATED CONSTRUCTION VALUATION (excluding lanc�: $ f �—� " � <br /> I hereby apply for a buildin�permit and I aclmowled�e that the information above is complete and <br /> accurate; �hat 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 /> p� � � � <br /> APPLICANT'S SIGNATLTRE: � /" -� DATE:.� '� O C� <br /> NOTE! Parade 4f Homes events require separate pernzit approval by Poliee Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />