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� <br /> , . Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT 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 R CONTRACTOR <br /> JOB SITE ADDRESS: _�1 D 8 �u o a r 0 o c�S �Zg':_ S S 3 S�O <br /> NAME OF OWNER: �Jacaue�rhP anc� /�ic,hae� ��k.S PHONE: (home) y,,�-�?S—0009 <br /> � (work) <br /> MAILING ADDRESS: �.,108 �' Weod��C�� D�o n o ZII'�,55 3 Sb <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 detain: �h �� �n�'�^�ra�me �n �ForQ ac rm,� <br /> roorn . a roorv� rouaG�e, i n �i cr <br /> �� —T <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ IO� 0 0 O <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 pemut and work is not to start without a <br /> permit; and that the work will be in acc ce with the approved plan. <br /> f � <br /> APPLICANT'S SIGNA � DATE: p 2,— � � — 0 Z <br /> NOTE! Parade of Homes ev ts r uire separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to t e event. Non permitted events will not be allowed. <br /> 5 <br />