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Total Fee: Date Received: <br /> Entered By: Permit#: // <br /> CITY OF ORONO - BUILDING PERART 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 one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 73 D h K o cam)a, /1 b Q s ZIEP: 65 3 S 6 <br /> NAME OF OWNER: VZ1 t p/tNM5 PHONE: (home)��/7� Dy/6 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: ,5,5-,09" <br /> k)6 "�o b�, ohe �� OW.?er . <br /> CONTRACTOR: PHONE:- <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> A �+ <br /> ARCHITECT/ENGINEER: N4 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): A)e, fu <br /> h I o4 e, Am c <br /> ,jYD44 n, t e p dol • <br /> STORIES: SQ.FEET 'i�Sp2 c c <br /> NO. OF BED OOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ yD 0 p <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: DATE: 6 / <br /> NOTE! Parade g f 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 />