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, Date Received: � "��� �� <br /> Total Fee: $ (�,��°.p.� <br /> Entered By: �-� ; Permit#: ��a0(d <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 /> ------------------------------------------------------------------------- .r ----------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: 2"1�t 4 Pi�ir►Q+�, Lw�� ZIP: <br /> NAME OF OWNER: Q 0+�+ ♦ t}-1�:a�. �0►�Or�['r`'►�►�► PHONE: (home) �'11'$�o Z ro <br /> (work) a3 Z•'11 g$ <br /> MAILING ADDRESS: Z,">>0 '�'�►C+� 1..�. CITY: p C'0�0 ZIP: <br /> CONTRACTOR: '�O�r► �fr►�•� �' S�`'�S PHONE: �SS•91 �0 <br /> CONTACT PERSON: C'�►�1f �rOiQ-w`-� MOBILE/PAGER: a O2-S S S <br /> MAILING ADDRESS: ��IOPe i.��G01r• '�'• CITY: �C�: r►�► ZIP: SS y2 C <br /> STATE LICENSE: # l y� <br /> ARCHITECT/ENGINEER: �Arwt. ag G�~�PHO r <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�: Rp�O�Q-I �wS�"� Q4"��` �� <br /> ��A1n��p► � w►�1 st' C�- �:�• ' ..1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ZS� p 00.0� <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 t is is not a permit and work is not to start without a <br /> permit; and that the work will b ' acco the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 2-Z3—�O <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 />