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Tot?1 Fee: $ ! i,�s ' . ]� Date Received: 7"� v" �"� <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 2y�-✓��,2�'HS�fc�c,� piZ,,;•€ ZIP: S`�32 3 <br /> NAME OF OWNER: �l�e �n�� �i�,f(�(s`( PHONE: (home) yoy- O?3( <br /> (work) <br /> MAII.ING ADDRESS: 2�3`r,�t/o/t!ti► 5��C,�2.,ICITY: p��a ZIP: s-S" �Z3 <br /> CONTRACTOR: C� �jU++ ��T'�/ � �i PHONE: ��I��rLo J <br /> CONTACTPERSON: p,.o-�v g,G�g.t/ MOBILE/PAGER: �$5�' tr� 3 <br /> MAILING ADDRESS: Z'1�iv ��+' 132a�L— CITY: /�l•t�1'h ZIP: �'�7 <br /> STATE LICENSE: # �3�P0 <br /> ARCHITECT/ENGINEER: � �wf� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> � <br /> TYPE OF WORK: New Addition� /Accessory Structure ✓ <br /> Move Remodel/Alteration t/ Land Alteration <br /> PROPOSED WORK(describe in detai�: ��/��C�t a�✓ Gs�rs�-i ivs �� �� <br /> �t�( ?� �-3✓�✓�•4nG� <br /> STORIES: SQ. FEET OF EA LOOR: <br /> NO. OF BEDROOMS: RAGE STALLS: TT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /�0. O-lJl> <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 wit th ces and codes of the City and with <br /> the State Building Code; that I understand this ' e it and work is not to start without a <br /> permit; and that the work will be in accorda e ' the pproved plan. <br /> APPLICANT'S SIGNATURE: DATE: 7 �/?%- ���.0 <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 will not be allowed. <br /> 5 <br />