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Total Fee: $ Date Received: <br /> .ntered By: Permit#: <br /> t <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 /> vo <br /> JOB SITE ADDRESS: 7 7 7 /C;E o dl ZIP: <br /> NAME OF OWNER: Leor2 C cla)f C v PHONE: (home) <br /> (work) Y7? - ?F/r <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: - Y 7' - ;2 o o <br /> CONTACT PERSON: MOBILE/PAGER: y�16 - <br /> MAILING ADDRESS: 1 Y Sd A,1, /l'l CITY: Con/cSScj ZIP: (I 7/ 9' <br /> STATE LICENSE: # 3 7/. <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): 4c-,r 0/ f a-� R 4 1-c ,-Odilf <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ y <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: <br /> NOTE! Parade of Homes events reqreieparate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />