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Total Fee: $ Date Received: I - U -01 <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 /> THE APPLICANT IS: (circle one) OWNER ORCONTRACTOR <br /> JOB SITE ADDRESS: -� �' J - 0Q D ZIP: s5 3 <br /> NAME OF OWNER: = - �e� PHONE: (home) / Z - U-71--`7 3 q <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ' I l Ty 2e Cc)m+- - PHONE: (o ( z- -7o i - 8 I3cJ <br /> CONTACT PERSON: �-T; rn1 --VtY,in MOBILEMAGER: <br /> MAILING ADDRESS: 5S$S CITY: W ZIP: nF�C92 <br /> STATE LICENSE: # 5 3 z 8 S3 <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): ge -P—CO- - O� -H 4�, e <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� 0 U <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 accordan a with approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: L <br /> NOTE! Parade g,f Homes event equire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />