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Total Fee: $ Date Received: <br /> Enter�lt By: Permit#: <br /> . <br /> CITY OF ORONO - BUII..DING 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) /OWNEI� OR CONTRACTOR <br /> �� <br /> JOB SITE ADDRESS: � 3 � �l � /���� G�1odD r�z�: �s��' / <br /> NAME �F OWNER: C� � ��Ci� //l ' , �/, PIiONE: (home) `��2 y�� 12 ��-- <br /> MAILING ADDRESS:�-3 �`� �1��i D '�' (W�{) � t 2 9 / � ?> C„� <br /> ��/°� crrY: a o .�.�a z�: s-s3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CIT'Y: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAlteration� Land Alteration <br /> PROPOSED WORK(describe in detain: �-e �S �q�,C �l� ��l p��c.J �;a��Q p.,P <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 0 <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��Q �OC' 9 <br /> I hereby apply for a building permit and I aclrnowledge 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: DATE: � �`� p� <br /> NOTE! Parade of Flomes 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 />