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� Total Fee: $ ��` 3�� Date Received: <br /> Entered By: � _ Permit#: /C���,� <br /> CITY OF ORONO - BUILDING PERIVIIT 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 CONTRACT R <br /> JOB SITE ADDRESS: ���/C� /lf����'lshlO/�� 4�'' ZIP: ��.�j/ <br /> NAME OF OWNER Qd�(1�c-S F�r�'7"/F�/�c�. PHONE: (home) �f 71 ° �/g2(�, <br /> (work) <br /> MAILING ADDRE�S: .��`Jr� I��%r'�-�'SHc�� Dr2 CITY: G��..C�nl`G ZIP: ���3 11 <br /> CONTRACTOR: I�ti��'S���..i✓ C��.S�'�'.�fc-7ic�n/ c:�� PHONE: `�ZC.? ���� <br /> CONTACT PERSON: G A-� ��i25s��� MOBILE/PAGER: <br /> MAILING ADDRESS: �3c� K��v'"� 7 rt �t S`" CITY: 5T t.��rc�i S f�i���IP: ,S"�i�o <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'-r�tr��� �u �,�- 'Z Z �q�,r�.�,�?- <br /> STORIES: � SQ. FEET OF EACH FLOOR: �4d <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �c,,- � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��'k.��.i .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 Ciry 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 accordan with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ��/•5� <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 /> 9 <br />