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Total Fee: $ 6a . Date Received: , <br /> Entered By: WA Permit#: �- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Ali 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: oqy ZIP: �SZP <br /> 0FLU o 0 Mn <br /> NAME OF OWNER: 441 I ! A eaK"S PHOU- (home) <br /> _ (work) 'O& 17 7 ►4-7 5 <br /> MAILING ADDRESS: ORe-60 4V CITY: C>2-00.7 0 ZIP:�S�a <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:TL IPHONE: <br /> MAILING ADDRESS: ITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition V Accessory Structure <br /> Move Remodel/Alteration Land Alteration('` <br /> PROPOSED WORK(describe in detail): �'_p� (,v '► cti <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. L/ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I tL6� <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: ^r9 DATE: l 0 — <br /> � <br /> NOTE! Parade of Homes events require separataermit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />