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� -� , <br /> Total Fee: $ Date Received: <br /> �� �ntered By: _�,,Q� Permit#: /(� ,�(0 2 <br /> CITY OF ORONO - BUILDING PERiVIIT A]PPLTCATION <br /> All i ormation must be submitted in full before plan review will be started. <br /> � /� // (pl�ase print ll information) <br /> - ------- --------r�'----- �!.an_ �tl ----------------� ��--------- ---------------- <br /> THE A.PPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: Yo SS �!% lo�e ���-.;•� Z�: <br /> , <br /> NAME OF OWI�TER: .�� PHO�tE: (home) <br /> (work) �d '!�-� <br /> MAII.ING ADDRESS:� t-� ,�.�,� �!� CITY:� ZIP:_��s�`�, <br /> CONTRACTOR: �,, PHONE: �/��/-Z'>�fY <br /> CON'TACT PERSON: � MOBILE/PAGER: <br /> 1VIAII.,ING ADDRESS: CI"TI': o ZIP: <br /> STATE LICENSE: #v?O �i'�2.3 <br /> A.P CHIT`ECT/ENGINEER: PH0�1E: <br /> MA.ILING ADDRESS: CITY: ZIP: _ <br /> rJAME; REGISTRATION# <br /> TYPE OF tiVORIi: New Addition Accessory Structure <br /> Move � Remodel/Alteratio� Land Alteration <br /> PROPOSED`VORK(describe in detai�: '�� <br /> e � <br /> STORIES: �_ SQ FEET OF EACH FLOOR: � <br /> NO. OF EED�OOiVIS: _�„� GARAGE STALLS: ATT. DET. <br /> ESTII�i LATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I aclrnowledge 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 /> perinit; and that the work will be in accordance with the approved plan. <br /> A.PPLICANT'S SIGNA TE� ���� <br /> NOTE! �arade of Flomes 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 />