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A C <br /> Total Fee: $ J� ' 3 Date Received: _-5/Zz/1yjk? <br /> Entered By: n( Permit#: � �O <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 /> ----- --------------------------------------------------- --- <br /> THE APPLICANT IS: (circle one)( OWNS OR CONTRACTOR <br /> JOB SITE ADDRESS: L C) Ton kew; ,,, 1,f), ZIP: 5S _3� b/ <br /> NAME OF OWNER: PHONE: (home)_q yn <br /> (work) qq q-X13yy <br /> MAILING ADDRESS: ,L_�CITY: � �o ZIP: 3 b <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �J (A 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): <br /> STORIES: I SQ. FEET OF EACH FLOOR: _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9, 000''' <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 b ' accordan e wit the approved plan. <br /> APPLICANT'S SIGNATURE• DATE- <br /> NOTE! Parade of Homes a ents 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 />