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Total Fee: $ Date Received: �"Zti�� <br /> �, , Ent,ered By: Permit#: a � <br /> . c; _�/ ��-- <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) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �7 7 ��,�{�M'Q�,�,�� ►'�� ZIP: ���,� <br /> � <br /> NAME OF OWNER: �,1,��-Q��-Q� ��1� PHONE: (home)�J�-y��`y()y� <br /> (work) �v�l� <br /> MAILING ADDRESS: ��� ���� CITY: �'�'�,�,� ZIP: .��._ � <br /> CONTRACTOR: �� Y�� � � � � PHONE: ���a'��3��'G,�7'� <br /> CONTACT PERSON: ' p OBILE/PAGER: �' — S�j p <br /> MAILING ADDRESS: � c 6 CITY: j1t;��� � ' ZIP: �q <br /> STATE LICENSE: # , y <br /> ARCHITECT/ENGINEER . �;��, PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> l�:�ME: REGISTRATION# <br /> TYPE OF WORK: New Addition ✓ Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: ��(�,�,Q, �;� ���i;�y�u�'� <br /> STORIES: �. SQ. FEET OF EACH FLOOR: � 1� � � ��- , �� <br /> NO. OF BEDROOMS: '-�_ GARAGE STALLS: AT . DET. ,� `Q��=�OIo�� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): � y"��_�;,�� _ <br /> I hereby apply for a building pernut 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 /> � . <br /> APPLICANT'S SIGNATURE: � � , DATE: ��-�- <br /> NOTE! Parade of 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 /> 5 <br />