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� /) <br /> Total Fee: $ ��� �`�1 Date Received: G �' �� <br /> Entered By: �C� Permit#: ,� o �:�c��: _ <br /> ��; - � <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: I `��J � ��r� ��,'vf� C��,��/L ZIP: S��G��J <br /> NAME OF OWNER: r�i-�en � I�c�n-�rc�� PHONE: (home) �15 Z — �1'1 L$LJ(�z� <br /> (work) <br /> MAILING ADDRESS: �Lf�� �c�r�,dr��� CITY: G�U vc� ZIP: SS:SG��I <br /> � <br /> CONTRACTOR: �,1 G- (.�;nc;r� {� � JV�-v,c;�;nr-) PHONE: �,5�— J�'LY�SZ�'J <br /> CONTACT PERSON: ,'�',n �r,�e Y� MOBILE/PAGER: C�1 i — (1 Z-3(�,y-71 L3 <br /> MAILING ADDRESS: '��Z� Z?�C>ih �. L� �- CITY: ���� L�.r.� ZIP: ���ZS <br /> STATE LICEN5E: # Zc�l Z�l��I <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILI�i TG 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�: ('c�nrre�� JrnqS�nf.f F�vn�k�f�c-� �;cYk {Lr�1c-� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�RAGE STALLS: ATT. DET. <br /> � c�G <br /> ESTIMATED CONSTRUCTION VALL?ATION (excluding land): $ z �� �d, • <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 SIGNATURE: if1�-� DATE: Z� IS �G) <br /> ���� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />