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� � <br /> Total Fee: $ �j� � U � Z� Date Received: �--3� o� <br /> Entered By: 12� �" ����pNPermit #: o S� .5 0 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � � �� <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) NE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�� Nor-�h �Im r� !�r ziP: 5�3q I <br /> NAME OF OWNER:�v iG� �.��p�,U r���p ,�(� PHONE: (home)�Q�2-5��'7'� (� <br /> �.1 (work) [c6 I �+�2-�� t� r <br /> MAILING ADDRESS:� ap)C �j� CITY: Y 5� ZIP: -rfj323 <br /> � CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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: IJ 2t,v �/1 C��'Yl� C�.Y1d (��QX'a�Q� <br /> STORIES:� SQ.FEET OF EACH FLOOR: I �l�D SC�. -h� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DE .� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 21v�-�', �� <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 und stand ' is not a permit and work is not to start without a <br /> permit; and that the work will be ' acc e th the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ��3�j�Z <br /> T <br /> NOTE! Parade of Homes events require separate permit approval by Police Depar[ment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />