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Total Fee: $ Date Received: <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: -;lJ� Toc Oa Iq d zip: �55,5W <br /> Q6a <br /> NAME OF OWNER: 4ma) Keg PHONE: (home) 47/ - 98S 7 <br /> _ r, (work) <br /> MAILING ADDRESS: 7�5 Togo ttogd CITY: Q Q y ZOT4 ZIP: �q <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: Nrl,I CITY: ZIP: <br /> STATE LICENSE: # <br /> r <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): Re 6 OG r <br /> STORIES: C2 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: o, GARAGE STALLS: ATT. DET. t/' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 06 <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: CI — O f <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 />