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Total Fee: $ ,_; Date Received: 0 <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: rNP►yT TD 31x Ti40 ��� ZIP: <br /> NAME OF OWNER: �/1,'f��� PHONE: (home) 1 r <br /> (work) 4611- O'31s% <br /> MAILING ADDRESS: 3'7Vr 1-*4o 04 • CITY: CQWL% ZIP: 153W_ <br /> CONTRACTOR: , � Qtinst`� PHONE: <br /> CONTACT PERSON: r MOBILE/PAGER: <br /> MAILING ADDRESS: a CITY: alti& ZIP: <br /> STATE LICENSE: # t*Nb OVsw4.r-- <br /> ARCHITECT/ENGINEER: J*fr- 15AIVW PHONE: %Qj—Q%g 3 <br /> MAILING ADDRESS: Pot or -mo aA CITY: 0"&& ZIP: SS3q) <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): N Ghj Hwsrr, <br /> STORIES: �� SQ. FEET OF EACH FLOOR: I*K s \411 7 NO c i O op <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. jf <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 00.CK)a <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 /> f <br /> APPLICANT'S SIGNATURE: DATE: /P/41 /k�>_ <br /> NOTE! Parade of Homes events requ re separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />