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Total Fee: $ �� ��'°�� Date Received: <br /> Entered By: .:�- Permit#: ���i:�,/ <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) ..ti OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � � Z�: `_; 5 3 Cp �� <br /> NAME OF OWNER: ;.,_;�,��; ti (`n `; - -�.,,, , PHONE: (home) c� � _ <br /> —� (work) - 4�� � <br /> MAII.ING ADDRESS: � �z,�C� t�<:�r �r< `;a_�� CITY: �� ��� ,-�� � � ZIP: ,- <br /> / �w�� _ <br /> CONTRACTOR: � � ��,� � t�<< � ��,�PHONE: 1�����;- � ._' "?"-' �= <br /> CONTACT PERSON: � � ��.�� -, ,, s-+ MOBILE/PAGER: �. �-} �i - �� ', -i "� <br /> . �":�� `.� -�� �, -. <br /> MAILING ADDRESS: ; :� `�i �.�. ; ;r _ . ; CITY: �-�.< i_ �� <�_ ,' 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 /> ;•, <br /> PROPOSED WORK(describe in detain: : : i - � <- �_a = �+f- '�L�� ��� � � - 4�-�-�.Y. <br /> STORIES: I SQ. FEET OF EACH FLOOR::,..1- � :; ; ' - -- _ <br /> NO. OF BEDROOMS: �"�, GARAGE STALLS: ATT. DET. v��� <br /> ; az�:� - _ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ' -t- "'f�--�=r-�' <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 SI�GNATURE;-�`�`��,�;a..a -' f�,� ,rr,_R.<"' DATE �� � ��� �"�—� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnertt and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />