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Total Fee: $,J2 <br /> Cs3 Date Received: 5 " <br /> Entered By: /�A• Permit#: , <br /> CITY OF ORONO — BUILDL TG 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 ON RACTO <br /> JOB SITE ADDRESS: b(- �1^'�IP: <br /> NAME OF OWNER: t�1�0. PHONE: (home) Sf- Jr�7 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: e? �k%A a/P- 5 L�' -' . PHONE: G, <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 5 Zo;� G jJe CITY: . ZIP: J5,5,3,%-27 <br /> STATE LICENSE: # <br /> ARCHTI ECT/ENGINEER: ?�% P. M 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 RK(des ribe in detail): Zdc( pe,2� 1�j <br /> STORIES: SQ. FEET OF EACH FLOOR. �Z <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 and d this is not rmit and work is not to start without a <br /> permit; and that the work will be n a rdance w' e approved plan. <br /> APPLICANT'S SIGNAT DATE: <br /> NOTE! Parade gf 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 />