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Total Fee: $ X4,3.p q Date Received: <br /> Entered By: ---ZA Permit#: /IZ-7 <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 /> ------------------ <br /> THE APPLICANT IS: (circle one; OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �� O ®ft(yJbG�(1.� LN' ZIP: <br /> NAME OF OWNER: C. Lv rs G PHONE: (home) `� \ <br /> • (work) Lk-10-Zg'k\ <br /> MAILING ADDRESS: 2'-, tO oubN � CITY: Look- L.AV�C ZIP: <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): <br /> LV M g .-�� , �i C-r{e-�c-�t— , ���•E PL�9<E <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): CPDD . <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: DATE: > <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 /> 5 <br />