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, <br /> • Total Fee: $ l��• 2� Date Received: <br /> Entered By: � Permit#: �� ��Z-' <br /> , <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 O CONTRAC R <br /> JOB SITE ADDRESS: �� � d� �"d r� ZIP: <br /> NAME OF OWNER: -��'� C�`t�'� PHONE: (home) `� �� -'S-z�SCP <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �-cr Ua����'�^Y � PHONE: Y�/-" dS 3 Z <br /> CONTACT PERSON: �e ��� MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # O�z� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ C� Land Alteration <br /> PROPOSED WORK(d scrib in detai�: �t;�e,�,,- , Cz�� �y''� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /O,�O d�� <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 accordance with e approved plan. <br /> APPLICANT'S SIGNATURE: DAT'E: <br /> NOTE! Parade of Homes events require separate pe it approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />