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. <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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: ':%/�S G�,�{� S'l�.-c �;. ZIP: �5 j�/ <br /> NAME OF OWNER: �w� �.....1 ;GI Glu� i���,�v� PHOivE: (home) =�7/-`�G�� <br /> (work) <br /> �IAILI�i 1G A,DDRESS: '�?l� S ^/�.�j-� S/�-.� :�r. . CITY: / ,.� � t ZIP: Ss 3�i/ <br /> COI�'TRACTOR: �l��S�- � ��-�r ��:s. �.� PHO��tE: Ts1-��i�-3y�/'� <br /> CO�tTACT PERSON: g.�� ��` OBILE/PAGER: �/z�z���-Sc��i <br /> MAII..ING ADDRESS: ��(�j�, Sl�:z%1..�. .��. CITI': G�;,,��c�, —ZIP: SS7� <br /> STAT`E LICENSE: # ��uc�����7g <br /> ARCHITECTlENGINEER: PHO�TE: <br /> MAILING ADDRESS: CITY: Z�� <br /> rJ��; REGIST'RATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ��� Land Alteration <br /> ��'"`'F� <br /> PROPOSED WORK(describe in detain: G° K /4��� �c�:�,--�-�' ��..f-� ���G� <br /> STORIES: SQ.FEET OF EACH F'LOOR: <br /> NO. OF BEDROOMS: GAR:AGE STALLS: ATT. � DET. <br /> EST�iATED CONSTRUCTION VALUATION (excluding land): S �`� ��C. 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 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 /> A.PPLICANT'S SIGNATURE: - , ✓'` __._ _� DATE: �����ni <br /> t��1.b==•-`` ----- <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />