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Total Fee: $ Date Received: <br /> � Entered By: Permit#: <br /> . <br /> CITY OF ORONO - B G PERNIIT APPLICATION � ( � <br /> � <br /> All information must be submitted in full before plan review will be started. <br /> (please print al ' tion) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: y (� � ZIP: _�S,� � <br /> NAME OF OWNER: �/��� �s�iv►�j/�<g b�n PHONE: (home) <br /> (work) - O� <br /> MAILING ADDRESS: ��1ij � CITY: rZIP:__i"c' , L�Q <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRES5: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � � � <br /> PROPOSED W RK(describe in detai : .e J / <br /> '7� f � �� <br /> h4s � 6e o�..f �' ����t�' �'w� <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 pemut 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 understan this is not a permit and work is not to start without a <br /> permit; and that the work will be in acc ance ith e pproved plan. <br /> APPLICANT'S SIGNATLTRE: DATE: S��d � <br /> . <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />