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Total Fee: $ �_ D f Date Received: <br /> Entered By: , Permit#: %/��s "�-' <br /> CITY OF ORONO - BUILDING PERNIIT 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:.?c� �� ���,;:TF��s/�f�,!2�. ,�? ��l��IP: S �':3 `�'/ <br /> NAME OF OWNER � �����;J ) - �'�-1�G�-i✓PHONE: (home) �-�� � (c�, (�3 <br /> (work) �.� � "� .S' '7 c,� <br /> MAILING ADDRESS: r; �� � ,� 3 CITY: C:� �i�rI L:��-4 ZIP: �'-' �' 3 �'3 <br /> CONTRACTOR: PHONE:_ <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> U� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��L�n ��-v x' �Z �� <br /> r-U <br /> '�;c t �S r--i �✓"�= �� <'T�-c l/ .= h � �--;��-C=t <br /> STORIES: : SQ. FEET OF EACH�I.00R � � � <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. � DET. <br /> C � . �--- <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ � � � �� - <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 /> � <br /> : � / � <br /> APPLICANT'S SIGNATURE: � v . �- DATE: U �j j <br /> � -� � �. _ c c <br /> . <br /> NOTE! Parade Qf 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 /> 5 <br />