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Total Fee: $�� �5� Date Received: <br /> ' Entered By: � Permit#: �(o y/ <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 APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: I��5 �F�GI(,�U 1.•�'?G'� ��%�, ZIP: ���� � � <br /> , <br /> NANIE OF OWNER: J�l?t'�' j �`�N'C�- �'��. PHONE: home) �- 1 ��Q/� � <br /> ,� (work) ��.�j---�'�a <br /> MAILING ADDRESS: ����j}�� ��� j�0 ,� �"�ITY: ' ZIP: ' �� � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: �# <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�'�� REGISTRATION# <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �, ��j� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 /> APPLICANT'S SIGNATURE: C� ' �� DATE: I�--���I�7 <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 />