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� <br /> .. -ToCdl Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must he submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------- - -------- ----------------------------- <br /> T�iE APPLICANT IS: (circle one) CONTRACTOR <br /> JOB SITE ADDRESS: ��.� ���l� �/�lJ.� ZIP: <br /> NAME OF OWNER: ��� S� ll.e�-�-�-�Q PHONE: (home) �f7a-�7 96 <br /> (work) <br /> MAILING ADDRESS: 5��..` CITY: C1�1�,,.�� ZIP: <br /> CONTRACTOR: /�'1.T c - G � PHONE: `�rG � O �a"1 <br /> CONTACT PERSON: G.�.� "�,.�..�„� MOBILE/PAGER: �c�� — � ?�o <br /> MAILING ADDRESS: l3 � `� /�CC�.r�d1� ,OirCITY: r'� ZIP: .r'S/a� <br /> STATE LICENSE: # '7 7 7 � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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 detain: �'�,J¢�` c��' ��� c�,��,�rQ �,.s � c�J�r� <br /> �.ao-�s r�s — /'�T'll `7�a /�+�l�— 0 4• o .2 -.Q _rJ' e cr cQ.A� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l� �'`�o <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 pemut 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: l"T � ^�G <br /> NOTE! Parade qf 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 />