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Total Fee: $ Date U Date Receive !D-a13�3 <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILu DNG EI�� o APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACT06R <br /> JOB SITE ADDRESS: �j �.,t !� , zip:. I� j► <br /> NANIE OF OWNER: f { �T PHONE: (home) <br /> work) <br /> MAILING ADDRESS: �, ) fin,. CITY: ZIP: (t, <br /> CONTRACTOR: PHONE: -QQ q, C <br /> CONTACT PERSON• _ OBIL AGER: <br /> M.AII.ING ADDRESS; 1, Ani <br /> - <br /> : Sp <br /> STATE LICENSE: # ► S 3- <br /> ARCHTTECT/ENGINEER: PHONE: <br /> =TjtDRESS: c�5 CITY:REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> OPOSED W RK(describe in detail): �R-9fB1R &V <br /> STORIES: I — SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLNIATED CONSTRUCTION VALUATION(excluding land): $��.deo' <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 inordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 6 "� 3 'Q\� <br /> NOTE! Parade of Homes events re uire sep ate rmit'approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />