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To. Fee: $ Date Received: <br /> Ent�d By: Permit#: <br /> � <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 /> . -,.._ <br /> THE APPLICAI�TT IS: (circle one) OWNER O�GONTRACTOR� <br /> � �`. , ' <br /> JOB SITE ADDRESS: ` � -1 = �'L„ �-�- �� ZIP: <br /> / / �' r_�C (1 r-- <br /> l' <br /> NAME OF OWNER: � � '�- ;�'i��;; l 4� i 1 l PHONE: (home) � <br /> `�' (work) ;. � ,� <br /> NIAILING ADDRESS: CITY: ZIP:�/„?j � ^, <br /> v� <br /> �lU <br /> NTRACTOR: �- � •� � PHONE: "�p`' � �,'� :� U�� <br /> CO �� � �_ ,,r 2� �. � l -�/� V <br /> CONTACT PERSON: ��,- ���_ /�' � , MOBILE/PAGER: <br /> MAILING ADDRESS: %' � ✓;��,� � C/c�� CITY:;� /�'l,���� /ZIP: i�._>�}�� <br /> STATE LICENSE: # ._)�_��j�>;��i�� ,' <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAlVIE: REGISTRATION# <br /> TYPE OF WOR�i: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> > � <br /> PROPOSED WORK(describe in detai�: � �,y/���t�f �l�_?�s'� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � ' � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,-���� � � <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 /> �- �- ! <br /> APPLICANT'S SIGNATURE:� �� 4�r��� , _ , DATE: � � � <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. � <br />