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Total Fee: $ ��: �'` Date Received: <br /> Entered By: i '�'� �' �� �� Permit#: ►���� <br /> CITY OF ORONO - BUILDING PERNIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �:'ti`��C� ":. c:d�i 1-i 5 J��i= m� ZIP: 5 5 3 � y <br /> NAME OF OWNER: (— �L\C �� 1«�r=��,� PHONE: (home) Li 7-Z- ��o� <br /> (wark) �7�� i - �8 � .z <br /> MAILING ADDRESS: `�'I`�C� N��T�-i S i�K1`_ t�. CITY: U r^�n� ZIp• ���'3� </ <br /> CONTRACTOR: �-�R\ci� 1�A �-�-i=.��� �o«t� i PHONE: �G� ' ��� .� <br /> CONTACTPERSON: F,�iC i� MOBILE/PAGER: <br /> MAILING ADDRESS: �i/Yc� �lU���-{ S�fcK;� OQ. CITY: u r'�:�� ZIP: �S'3 �� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: S�=� i� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PRUPOSED WORK(describe in detai�: �G�'i 1-�0��� �=o� iDt�_�c�. Pc�� c� <br /> STORIES: _� SQ. FEET OF EACH FLOOR: /.Z a c� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: Fj�,�c� ���� DATE: y�'�/ � � <br /> � <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 /> 5 <br />