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01M. <br /> e: $ Date Received: l 3 Z <br /> 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) _ NE OR CONTRACTOR <br /> JOB SITE ADDRESS: ACc�O �na ZIP: 3c( <br /> NAME OF OWNER: U312A� S PHONE: (home) C?�41N <br /> (work <br /> MAILING ADDRESS: 3a-b OGn CITY: ZIP:j53G I <br /> CONTRACTOR: SC PHONE: 5D- (� <br /> CO`-TACT PERSON: MOBILE/PAGER: 455-� P-g <br /> MAILING ADDRESS: �(��Dcj6 ,a CITY: © �UC7 STP: 5s 3�►I <br /> STATE LICENSE: # — <br /> ARCHITECT/ENGINEER: SC 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 W RK(describe in detail): 2:Q�06LXIL "-)kA C'L t,- 6e' <br /> r v �(, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLNIATED CONSTRUCTION VALUATION (excluding land): $ 14 50(, <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 wifI be in accordance with th approved plan. <br /> APPLICANT'S SIGNATURE: DATE:NOTE! Parade off'Homes events itle uire 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 />