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Ak, <br /> Total Fee: $ zgq 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 /> Ile- <br /> THE APPLICANT IS: (circle one OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: Z-� c9-c.�� ZIP: <br /> �j <br /> NAME OF OWNER:_14**� AEC4,kk Icck PHONE: (home) <br /> II (work) <br /> MAILING ADDRESS: 25 Z4 CITY: oe-6 V-j a ZIP: <br /> CONTRACTOR: CjOO PHONE: ` <br /> CONTACT PERSON: NIOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ✓v PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _f Land Alteration <br /> PROPOSED ORK (descri e in detai ' ie <br /> , <br /> STORIES: SQ. FEET OF EACH FLOOR: Z 910 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): S '7 --� <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 ac dance wjd d'e approved plan. <br /> APPLICANT'S SIGNATURE: '. 1 DATE: <br /> .Ile N <br /> NOTE! Parade of Homes events requires orate 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 />