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Total Fee: $ `�/' 26 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 2.-Z,0 -®n tom'C; L , Lk ZIP: <br /> NAME OF OWNER: ��ieLtt 01-<, PHONE: (home) L06-- 12-LA- <br /> (work) <br /> Z-LA-(work) Lj 6-1 {- g 3 <br /> MAILING ADDRESS: -�O -�b v\ -C. CITY: Low k L,,j c ZIP: 235, 3 S L <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 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 L,—_ Land Alteration <br /> PROPOSED WORK(describe in detail): uwd( W �r.Qowf <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �I ?`t(.� <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: Ll- "C1 <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 />