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� <br /> � Total Fee: $ �""/a�- '��� Date Received: <br /> Entered By: ,-�/, , Permit#: �r,;�� <br /> CITY OF ORONO - BUILDING PERIVIIT 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: � / $O /�✓�`� -S�t o/'` 1�r. ZIP: ss�..��/ <br /> NAME OF OWNER: �q,(�(� /�/�.t✓�n�t�rv�K�. -L�nJ��cry�,^���I�ONE: (home) �7�/(�/S <br /> �d: � (work) �v=�-- 1 _SO y <br /> MAII.ING ADDRESS: ,Q, �C�X. �(3� CITY: J� ZIP:�� <br /> CONTRACTOR: �f i /�J �-� I S�f' PHONE: �'72- /G /'"J <br /> CONTACT PERSON: Pjl�I �t n� �" 1��4�/ MOBILE/PAGER: <br /> MAILING ADDRESS: a.�.� Lan g c��-�, �. CITY: 1'hO�,t ,� � ZIP: �.53(� <br /> STATE LICENSE: # �o�}3 Z 3 (P <br /> ARCHITECT/ENGINEER: �ns�r-u��" �l'L�� Fe4�- � PHONE: `12�1 -`I �'�� <br /> MAILING ADDRESS:' ��,5� /►'l�h n��ic� �i ic, /'�✓-e CITY: t S ZIP: ,�� <br /> NAM�: T,�,es La�-,�1 �/���+c� REGISTRA ION# �'f�.-C!r7 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> _ � �' . <br /> STORIES: L SQ. FEET OF EACH FLOOR: 1 �o 0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 3`� ��� <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 aEcordap�e ith the approved plan. <br /> APPLICANT'S SIGNATURE: �7�, '�- DATE: �f� �'�17 <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 />