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Total Fee: $ Date Received: <br /> Entered By: Permit#: 7% <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 on-e)— OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: / (0t/0 l o ,qyi e w ( ,J ZIP: 15:53 <br /> NAME OF OWNER: /'q l C C PHONE: AmeL172' s> �2' y�3 <br /> J (work) 2111- V L1767 <br /> MAILING ADDRESS: Y6 Yo �'ory&qy;ew 1G#TY: Oro 40 ZIP: <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 / Land Alteration <br /> PROPOSED WORK(describe in detail): 2 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET--3 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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. 2 Kj <br /> APPLICANT'S SIGNATURE• DATE: �:/ p ^ ��O <br /> 1000' <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 /> 5 <br />