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r� C' ��c <br /> Total Fee: $ : ; ���J��� Date Received: ��j i l� , <br /> � Entered By: ,�''�'� Permit#: j/'�Q� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> -----... <br /> THE APPLICANT IS: (circle one) OWNER O "R`CON_TRACTOR ` <br /> JOB SITE ADDRESS: � �j �'� 1�` P�dZIG l> �Ll J� ZI�': `j�776�02-- <br /> NAME OF OWNER: �J�"� �`�,(,�(� �� PHONE: (home) Z _��D <br /> (work) <br /> MAILING ADDRESS: ���� �i� ��� CITY: (j�Af v ZIP:y� <br /> y <br /> CONTRACTOR: ���j p� I� ,�;-►'�C(l�-T 1ti�� PHONE:_(�1 L - 7�(- ( � 2aj. <br /> CONTACT PERSON:�;������'�(,�����jOBILE/PAGER: la l 2 - jv�°tl 'ZZZ� <br /> MAILING ADDRESS: foc3 �, i�-�(.cG S'i ,4�,�c{' Z�ITY: �,�12�R•r ZIP:�� ��-� <br /> STATE LICENSE: #��',y�� 3�.� <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 /> � /+ 'r�t <br /> PROPOSED WORK(describe in detai�: � `� (� �� <br /> �� � ����t �-ti'� l��'< < ��fL <br /> STORIES: � SQ. FEET OF EACH FLOOR: ���� �_ <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED 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 'th the approved plan. <br /> . <br /> APPLICANT'S SIGNATURE: ' DATE: <br /> NOTE! Parade o�Homes events require separate perntit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />