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� , <br /> , Q <br /> Total Fee: $ �O� ' � Date Received:_ ���7L�f <br /> Entered By: �j Permit #: � ��, �f�y�_ <br /> � � a / <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 /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �p2,C����l Gr� �r• ZIP: 4S—S ��� <br /> �S�>�/c�� y���c/r,c%s o.� <br /> NAME OF OWNER: �C/� f} ��;,�� u s PHONE: (home) �/�/".�IvOG <br /> (work) Gl.2- �7a? -8G� <br /> MAII,ING ADDRESS: ��GG ,(/ S`ioi'F ,�i� CITY: Gv�yzG� ZIP: ,�,��r <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 /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ���F w,��C u„�l,��s� <br /> TG�E <br /> STORIES:_�_ SQ.FEET OF EACH FLOOR: � g� <br /> NO. OF BEDROOMS: . GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ydG G , Gp <br /> ,� <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 /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: G— 2 G—o/ <br /> NOTE! Parade o Homes events require sepa�ate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />