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Total Fee: $ 7- b s Date Received: <br /> Entered By: Permit#: i ( R2,7 <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 /> THE APPLICANT IS: (circle o e) DOWNER QR CONTRACTOR <br /> JOB SITE ADDRESS: �a 3S TUG o 9/0 ZIP: S,S.3 ci <br /> NAME OF OWNER: A�/l SC( d 0 A 1:21/Z-- PHONE: (home)q7(- -7 .2 F 3 <br /> (work) <br /> MAILING ADDRESS: 36 3S r0c� o ,Q a. CITY: rA ZIP: -55 3 qil' <br /> CONTRACTOR: PHONE: L( 7/— �� 3 <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 /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 6 0o•o� <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 />