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' �, <br /> �, <br /> � Total Fee: $ ' ' � - ' J Date Received: —/� �-'�� <br /> Entered By: ,�1/'1 � Permit#: �'%�S (���k� <br /> ,. �' ;,;i. �,��, ��� ��'��� <br /> CITY OF ORONO - B'(�ILDING PERMIT 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 OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �U�o� ,UO k'T H S 1�c�/�L= L7� ZIP: 5� �Co�{ <br /> NAME OF OWNER: � � � ' S PHONE: (home) -�1 SZ-�7 Z ��� <br /> (work) Q �Z- g'��-/ -9Y y�,- <br /> MAILING ADDRESS: �JOC�y l;a��►,{ Sf�v�� p� CITY: c��c�� ZIP: 5�53�y'' �' <br /> \ H�' <br /> � \�/ .�,� <br /> CONTRACTOR: S �+w��C PHONE. v . ` \ <br /> CONTACT PERSON: MOBILE/PAGER: � O <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 X <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: S�A(',, c, � q 2 r1 � € ��d +a�v <br /> -�v �x �s�� n c C �9�c S ) c; .�2.��, �:. <br /> STORIES: l SQ. FEET OF EACH FLOOR: S � 1 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/CUOC� �� <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 accorda ce 'th the approved plan. <br /> �, , <br /> APPLICANT'S SIGNATURE: � �'� DATE: c� -- I S -� Z <br /> NOTE! Parade o 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 /> 5 <br />