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Total Fee: $ Date Received: <br /> Entered By: Permit#: g„,2-y17 <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ;5 7 !i3C:' kr) vCyk'c ZIP: <br /> NAME OF OWNER: 44 h � H eC^wi((r150/-) PHONE: (home) 89 7- 90/ 3 <br /> (work) / 7z7 �- <br /> MAILING ADDRESS: /3,/c x/ (/6'7r ` �G�� 3 CITY: -16,4vS t'/Cl ZIP: ..5- 33 <br /> • <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 /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration . Land Alteration <br /> PROPOSED WORK(describe in detail): q. e s\-, <br /> STORIES: / SQ. FEET OF EACH FLOOR: /%6C) <br /> NO. OF BEDROOMS: ::23 GARAGE STALLS: ATT. DET. / <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 i <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: ,2/v _ ,/(a,. ( DATE: ; (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 />