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' Total Fee: $ �1 � �� Date Received: � �-3 <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING 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: _�1=-l:� - �/���'i��f�T �-'.D ZIP: � ..�i.=.�'�/ <br /> NAME OF OWNER �<.���'�� �j���'T PHONE: (home) �7/- �-:�'��- <br /> (work) <br /> MAILING ADDRESS: S`•�N�� - CITY: C-r,�;,L-G. ZIP: ,.�-�; ,1•�/ <br /> CONTRACTOR: - G%fri,�/�.5� -� PHONE• `���-G%:� ��� <br /> CONTACT PERSON: �'' MOBILE/PAGER: <br /> MAILING ADDRESS: _,`���r=�-���'/�'.��i�r,,�� CITY: G�4;c�L= ZIP: S's�:;�'l <br /> STATE LICENSE: # ' <br /> ARCHITECT/ENGINEER: - PHONE: <br /> MAILING ADDRESS: — CITY: ZIP: <br /> NAME; — REGISTRATION# <br /> TYPE OF WORK: N�w Addition ✓ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: %�7 ' x iL � ����r �d�%•-.r� <br /> STORIES: f SQ. FEET OF EACH FLOOR: ��� � ���_�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding l�d): $ l.>2,S��"�- __ <br /> , <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 Ciry 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 accerdance with the approved plan. <br /> , � `' DATE: � • � �,� <br /> APPLICANT'S SIGNATURE: ����.-���.�-�/ � '� � , <br /> NOTE! Parade o�'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 />