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Total Fee: $ 43 Date Received: - + <br /> Entered By: . -4= Permit#: <br /> '�. <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 R CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: aAf\O I-' 1 fV PHONE: (home) v] <br /> (work) GI S, -'fI 1 -y C) <br /> MAILING ADDRESS: G)0 CITY: LJ,,,-7-,,t& ZIP: <br /> CONTRACTOR: 2 1��� �� PHONE: <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 /> PRO OSED WRK(describe in �detail): L h-+y w <br /> 0.V1T Doov 4 a C4 <br /> Cvv\� *01W" 1,: AG( v w <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: <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 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: 4ry DATE: zto -j <br /> T <br /> NOTE! Parade of Homes events require dparate 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 />