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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: U 5 T ' �' L A k ZIP: <-r <br /> NAME OF OWNER: T l vim"15 � �C'�H�GYI PHONE: (home) 2- y'13- -5 5- <br /> � 9 <br /> (work) _5't0-^6 <br /> MAILING ADDRESS: 6 '> �% CITY: 6 4o <br /> �yc <br /> CONTRACTOR: �,ef�iv5 <<'ti'�� PHONE: 7 6 IS ` 2-8o3 s— <br /> CONTACTPERSON: L � L-Arf�.,.,S MO�UE/PAGER: 763 - y`�'Z' Y03<- <br /> MAILING ADDRESS: 2 ?`�� qtr G.9rc;�v�f /`� CITY: ZIP: yY . <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): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.__ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ or `vo <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: 6G��-�-.'C4 � DATE: <br /> NOTE! Parade Qf 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 />