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' • 4 <br /> � / �. :'_2 /c>'Z <br /> Tctal Fee: $ j� , ������ �� Date Received: �" <br /> � Entered By: _ _ Pernut#: ����� <br /> - �';'i' 'r� — , <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 /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: Z 7�0 /��,sA�y7� �� ZIP: ��331 <br /> NAME OF OWNER: �D�� � /YIl�f�'D�� PHONE: (home) 9✓�'L-`l�7/D.SD Z <br /> (work) 763- y79-G 3� <br /> MAILING ADDRESS: �760 �f�f�N7� /Zd CITY: �XG£�o�' ZIP: ,�53.3� <br /> CONTRACTOR: ����' .�Ji��lL �iiS��2. PHONE: �i/Z�71� � /�� <br /> CONTACT PERSON: ���� /�L- MOBILE/PAGER: (�/Z -Z71J /y06 <br /> MAILING ADDRESS: 3D0 Gvf,,sf �N k� CITY: To��- �3r1�`j ZIP: �,�,3/ <br /> STATE LICENSE: # �� 20 Z 7Zg��"" <br /> >. <br /> ARCHITECT/ENGINEER: ����� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,[��pvi�IS �XiS�iu� ���� �lc� � <br /> ��, d�� 3�d u sf� � / N ��� ��y <br /> u��fi� �s �►.Jv d�e,�. ,�o� <br /> STORIES: I SQ. FEET OF EACH FLOOR: D � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 DET. <br /> N�w) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,SU, DO U <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 acco dance ith the approved plan. <br /> APPLICANT'S SIG VATURE: DATE: ✓�7i OJ� <br /> NOTE! Parade of Homes events require separa permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />