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._ '` � . ' J �.� V <br /> Total Fee: $ � �' �� ��ate Received: ���d�- <br /> Entered By: ;; � �� Pernut#: �o �0.3 ? <br /> , '�1�'�,"� <br /> CITY OF ORONO - BUIL ING 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 O CONTRACTOR <br /> JOB SITE ADDRESS: 3N S �l� A�M L M. ZIP: S 5 3 Z 3 <br /> NAME OF OWNER: 10a v�'� 5�,�w��t�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 3�/S /V0�� ��.n Lh CITY: ���a ZIP: �N <br /> 3'�3� <br /> CONTRACTOR: /j'Ip��,+ :/d%� S =�t r. PHONE: 7�e 3 - �?g5 �� <br /> CONTACT PERSON: �;d �' � MOBILE/PAGER: <br /> MAILING ADDRESS: ar i CITY: /l�on�;�t�/s ZIP:_:�►��2 <br /> STATE LICENSE: # <br /> > <br /> ARCHITECT/ENGINEER: �q�su PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: Ci���.yt <br /> STORIES: I SQ. FEET OF EACH FLOOR: �— Z�.�� ,c 33•S = �q�,6S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���:�- <br /> ! �o, c�c�o�o <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: �— �S � �Z- <br /> NOTE! Parade o�.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 /> S <br />