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Total Fee: $� DateReceived: <br /> Date Approved: <br /> Entered By: 4/; Permit#: 2 3 7/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> -------------------—------------------------------------------------- ---- ---------------------- <br /> THE APPLICANT IS: (circle one) OWNER O <br /> JOB SITE ADDRESS: w � �� SS <br /> NAME OF OWNER: PHONE: (home) 7g4--10(oj <br /> (work) •�3 2 <br /> MAILING ADDRESS:2,<3-71 2 'ts-)A4N CITY: a ZIP: (l <br /> CONTRACTOR: PHONE: <br /> OBILE ONE/PAGER: fvtv <br /> MAILINGADDRESS: 7, 1 fAS7WN 112 _ CITY: ZIP:mss► 'Z; <br /> STATE LICENSE: # 3!11 h -- <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 indetail): jz, -2- <br /> JULY- <br /> STORIES: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. 2_ DET. <br /> w / --u.�t2� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3c�K CX)2) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: , <br /> NOTE! Parade of Homes events equire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />