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� <br /> Total Fee: $,�Gj�. ,� �j Date Received: %i-'>, %'j,�; <br /> Entered By: ��, Permit#: �')�� <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 O CONTRACTOR� <br /> �____---- <br /> JOB SITE ADDRESS: � (��`�' � �1r��2�i�� ,�'/�-iL�v� ;�= ZIP: <br /> NAME OF OWNER: �;�;;�-,.,,� �E R e r,J 5 PHONE: (home) y 7 3-- �- 3�� <br /> (work) y; � . �3�:�7 <br /> MAILING ADDRESS: ��-•�- CITY: �,������ �� ZIP: <br /> CONTRACTOR: ST� �s I"1Z�5 E i7�'S�c�,�- PH01�: `-/ �? _ ' z z i <br /> CONTACT PERSON: i4�-�✓ l-�o�s�77-r- MOBILE/PAGER� `i� '� - �-�S 3 <br /> MAII.ING ADDRESS: /S��a v ���>�� �i�p CITY:'- ;,,,'�� :.� ZIP: �-s 3; � <br /> STATE LICENSE: # t �- �; 3 �iS 3� <br /> ARCHITECT/ENGINEER � ;,q Y;� , 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 detain: ; ��c K5 �'�. �:-����J c� �x��%"J� <br /> �� L� 5 i.v��,� rt i.l�P rA/ :i ri�_,i��.c..__� V'/f,/j �c-l��_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /: ; r;,�' <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 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 the approved plan. <br /> �' <br /> APPLICANT'S SIGNATURE: � ���_�.i�----�- DA'I`E: �`l I3� �;r <br /> NOTE! Parade o Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />