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Total Fee: $ Date Received: <br /> Entered By: r� Permit#: (j <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) (5 E AOR CONTRACTOR <br /> JOB SITE ADDRESS: , �Q 70 6�-O R/) JA/V,/�>A _/'� ZIP: <br /> NAME OF OWNER: ? 66ci'7`5 PHONE: (home) 7L,�Lo 5S <br /> (work) 7/3 - -?6a <br /> MAILING ADDRESS: 700-Foo Z U CITY: 4VW Y 2.4 T,+ zip:- JYYSl <br /> CONTRACTOR: 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 /> TYPERK:F WORK:O New Addition Accessory Structure <br /> Move - Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ee 61—,- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. a2 DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /, ZaO <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: 21YIZ 7 <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 />