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Total Fee: $ 5� Date Received: �"~�30 �� � <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: a ( �� �Ii r'���'�� ���r�'�. �{�v�.ZIP: <br /> f 6 <br /> NAME OF OWNER: ��r�,('-�� � � S�h�� c c1.n,�. PHONE: (home) '�?S�`110�I <br /> (work) �-f7� -`�J�.� <br /> MAILING ADDRESS: CITY: ZIP: <br /> � �t -� �---�k e Nt,.h�n z�--�-�.k c� �,-,v�;r a-v,►vv��1�-� S�iti:. <br /> -U,;c�c � �� q;`,� ��- w�:d�t.� S�-k� y� �,-�.�.a. <br /> CONTRACTOR: Cu��'�'�rl�-�'t�`-o►.l`,� `� -�in�°-'„g,� pHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: . <br /> STATE LICENSE: # .�� � �j y'���X����e,�i1�` <br /> � <br /> ARCHIT`ECT/ENGINEER: 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�,� -�`cr Ou�-��de G� �u t �C71 t�4 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �?c��. :��- <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 /> % '��APPLICANT'S SIGNATURE: �,f',G,, � � �„1�,,,, DATE: � � 3u—�7 <br /> � ;�l� /`"`,t�n.;r�.�_�« �i��`'(/�.�cs�-� . <br /> NOTE! Parade Qf Homes ev�nts 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 />