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Total Fee: $ Date Received: <br /> Entered By: Permit#: Co <br /> CITY OF ORONO - BUILDING PERAUT 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: 3 NO 7 yo RQ q d ZIP:_ j3-j?1 <br /> NAME OF OWNER: G a r q e_ /ft sS o PHONE: (home) qY/-933�f' <br /> (work) <br /> MAILING ADDRESS: ,7 7,�6 Tqo �og cl CITY: ZIP:,0-39/ <br /> CONTRACTOR: PHONE:_ <br /> CONTACT PERSON: s 0M A MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: D e 4 A N o 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 /> PROPOSED WORK(describe in detail): �u i f��v Q ,g ,4,�­� z,4�r�c eti �e r <br /> ,gdof, 71-e"H4 s %.r'��7or/ �6r r-x/� T/N� o A/C. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /2,3f00 <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: ,� .�� o- DATE: <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 /> 5 <br />