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Total Fee: $ Date Received: <br /> . Entered By: Permit#: <br /> CITY OF ORONO - BUII..DING PERIVIIT 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 A.DDRESS: �?�,� t',��,� `�;�. ZIP: S .5 3 � `7� <br /> �� <br /> NAME OF OWNER: f�r_`7��' i ct�r n�, PHONE• (home) ��7t�- 6 S 9g <br /> ' (work) <br /> MAILI`i TG ADDRESS: I.�t:;`-� �,%'��«= ��°. CITY: �;v n c�; ZIP: �5.-3F;�/ <br /> CONZ'RACTOR: D,Q Cc�,.0 �,�,� PHONE: y3�-5�5 S i <br /> CONTACTPERSON���,��-� MOBILE/PAGER: 3c;� . /c.�,� <br /> MAILING ADDRESS: S��� A;.��,�,s r� /'r,�- �i!' CITY: �'�;<< �� ZIP: �-��7 Y <br /> STATE LICENSE: # 33 �J�� <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�: i�,�,�_v,�F ,tw�n ,eE���c,F- <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTliV1ATED CONSTRUCTION VALUATION (excluding land): $ ��'�fQ�� �J <br /> I hereby apply for a building pemut 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 Buildin; 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 /> � <br /> APPLICANT'S SIGNATURE�_l�c�c��E'�jf'� DATE: s`-�%-Sfj' <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />