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� <br /> Total Fee: $ Date Received: �2 -to —4 9 <br /> Entered By: ,C�, Permit#: �iZ�S 9 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: �,S Q�(F'o�o( �Q�. ZIP: .SS3S6 <br /> NAME OF OWNER: J,•m K,�/,�jc,,�.� PHONE: (home) 7'ys= y9S2 <br /> (work) �S/-�'y6-9Yo/ <br /> MAILING ADDRESS: j�0 f3ox, �38 CITY: Ol'on o ZIP: SS.�S"� <br /> CONTRACTOR: 1/an�e� l,'no��� ��c PHONE:_ <br /> CONTACT PERSON: �Ja,� ,//c�/�r/,',u�;e MOBILE/PAGER: <br /> MAII.ING 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 <br /> Move Remodel/Alteration Land Alteration_� <br /> PROPOSED WORK(describe in detai�: Re�no� ex�S���s �n�,S' Co�r'� ano� <br /> F,��[ ��ea b�� fo �1�.fv�a,! O�'aoC� . <br /> STORIES: SQ. FEET OF EACH FLOOR: <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 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 the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: !�'!f�'�T�� <br /> NOTE! Parade of Homes even s require separate permit approval by Police Deparlment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />