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Total Fee: a� /'� 3_ -1,' Date Received: <br /> �ntere� By: �G� Permit#: /� f��' <br /> CITX OF ORONO - BUILDING PERMIT APPLZCATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print ali information) . <br /> ---------------- -- ---- -- - - ---- <br /> THE�APPLICANT IS: (circle one) �W�NE��R CONTR.ACTOR� � � . <br /> � <br /> JOB SITE ADDRESS: � :j C�.S ��i r � �r, v�.. ZIP: �s.3(oy <br /> . � , <br /> ! � \ � <br /> � NAME OF O��NER: �•:��'�1� K '� I�✓� 1-. � �►��^1 PHONE: (home) �'Zv S �� <br /> � J (work) <br /> , <br /> ��G�D�S: I �� � � �i�. ��- . �,� ��: n.� V�.�,�c�. Z�:�� <br /> CO�"TRACTOR: I���'�'�� PHONE: � <br /> C01�1'I'ACT PERSON: MOBILE/PAGER: � <br /> l��ZAII�'iNG ADDRESS: CTt'I': ZZP: <br /> STAT�E LICENSE: # <br /> AP CHITECT/Ei\TGINEER �l�C%��-- PHONE: <br /> ;YIA1LlivG ADDRESS: CITY: ZIP: <br /> r,*�,ME; REGISTRA.TION# <br /> TYPE OF tiVORb: New Addition Accessory Structure <br /> Move ' Rerr�,qdel/�eratior�� ✓ Land Alteration <br /> f::,��c4� <br /> PROPOSED,'��ORK(describe in detai�: ..� �� °� �G�,c � ,� �a i��� c%�P �' <br /> � ... ��1 �� G�Yc � y'�G��i�E�1ci =i;G�r� ��S � — <br /> STORIES: SQ.FEET OF EACI3 F'LOOR: � - <br /> NO. OF BEDROOMS: GARA.GE STALLS: ATT. DET. <br /> . � <br /> EST .n'i IATED CO�'STRUCTION VALUATION (eXCluding land): $ <br /> I hereby apply for a buildinJ 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 Buildi.n� 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 ' ac r�c ith the approved plan. <br /> APPLICANT'S SIGNAT'URE: � ,,,,t.�, � DA'I'E: `���-U %� <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 />