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Total Fee: $ ;� �/.O i Date Received: ���,<�-�i S <br /> Entered By: ��, Pernut#: � <br /> 1 j ��c, <br /> CITY OF ORONO - BUII.DING PERMIT 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 ADDRESS: ��,5,3 1"(�IR I� �2l v G ZIP: s S 3 ��/ <br /> NAME OF OWNER: i3RGN r I�G�v T 2�TT PHONE: (home) y 7.Z-��1�$ <br /> (work) SK w..�. <br /> MAILING ADDRESS: ��S 3 �I�RK '�Rtv�CITY: QEo►tic� ZIP: SS 3G�1- <br /> CO�TRACTOR: ��rlt�R r�ve 1'a,r�vR �►�c-s PH���__ ��l 2'y�S-1 Jle D <br /> CONTACT PERSON: ��.v � M O B I L E/P A G E R: 3��--G l�q (�!�) <br /> MAILING ADDRESS: �lo l4 S �o �r� CITY: M G p�,,,,� ZIP: ' �s <br /> STATE LICENSE: # Y 7 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 /> PROPOSED WORK(describe in detai�: ��.�,q�. �ErA��f��_ _ <br /> STORIES: _��� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROO S: GARAGE STALLS: ATT. DET. 6�°r"� �"T <br /> -�Y� 3��-30,00�-- <br /> ESTI�YIATED CONSTRUCTION VALUATION (excluding land): $ '��� 3�� <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 under d this is not a permit and work is not to start without a <br /> permit; and that the work will b in acc rdance w' the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Deparhnent and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />