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' Total Fee: $ ,�� J� Date Received: <br /> Entered By: Permit#: I �q Q� <br /> CTTY OF ORONO - BL�.DING PERMIT APPLICATION <br /> All information must be submitted in fiill before plan review will be started. <br /> (please print all inforncation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB srrE annxEss: �yy� N, S� �� ��N� z�: 5���/ <br /> NAME OF OWNER: ��� ����- PHONE: (home) 6�� "�7/-1'7SC� <br /> 11�IAILNG ADDRESS: t?D �0� �.5.� (work) <br /> CITY: C�ys��c �y ZIP: �5.3Z� -�ISS <br /> COI�TRACTOR: �`G 1'1'�A�v N w PHONE: Po/z ��i��'���Z� <br /> CONTACT PERSON: ,z,7F— MOB E/PAG $c�� 4 y �'� <br /> NIAILING ADDRESS: �'D dx l l t CTTY: - ZIP: !L�,v <br /> STATE LICENSE: # -? �$�f <br /> ARCHITECT/ENGINEER: ��� ��alN(� ��-��� PHO�TE: b��- 6 3 6- b��'9 <br /> MAII.ING ADDRESS: �7 g� �y lo it/E CITY: ���►�i�-cs ZIP: 5s i�2 <br /> NA1�IE: REGISTRATION# <br /> � TYPE OF WORB: New Addition Accessory Structure <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPO D WORK(describe in detain: � <br /> , <br /> � STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 G_�RAGE STALLS: ATT. DET. <br /> , s-� <br /> EST�iATED CONSTRUCTION VALUATION(excluding lancn: �— <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 a ordance with the approved plan. <br /> APPLICANf'S SIGNATURE: •�� ATE: <br /> r <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> .�. <br /> City Counci160 days prior to the event. Non permitted events wr71 not be allowed. <br /> 9 <br />