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Total Fee: $ �►1 7` Date Received: L <br /> Entered By: Permit#: 4,05793 <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 /> S <br /> 5 <br /> JOB SITE ADDRESS: �t �[��{� J ZIP:. �/ <br /> a <br /> NAME OF OWNER: -J�(!��j = y�� PHONE: (home) 7'71 <br /> (work) <br /> MAILING ADDRESS: 37. 5 7�� CITY: (rM//v ZIP: 553-Y <br /> CONTRACTOR: OLM4e5 60V J�_, PHONE: L 7 j—91 7� <br /> CONTACT PERSON: ,Jcv4%e S e:�OZ tk, MOBILE/PAGER: L <br /> MAILING ADDRESS: TVeo f CITY: ZIP: / <br /> STATE LICENSE: # <br /> ARCHITECTIENGINEER: 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: j SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -34000 J <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: A 62®' DATE: C <br /> NOTE! Parade of Homes event 4equire 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 />