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Total Fee: $ Date Received: <br /> Entered By: ,' 'z Permit#: <br /> CITY OF ORONO - BUILDING PERNUT 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 CONTRACTOR <br /> JOB SITE ADDRESS: u-6 00,-, ZIP: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: C BLCL hmd PHONE: 2-q-0 3 <br /> CONTACT PERSON: ::y0k vt_ E�r•P�e f� MOBEL E/PAGER: <br /> MAILING ADDRESS: qkt�-e CITY:_S4- tA. ZIP: <br /> STATE LICENSE: # E S3 <br /> ARCHITECT/ENGINEER: 1 CDP P2&IVA ,Ihs PHONE: 97+cD,�3 <br /> MAILING ADDRESS:35LD (. kayk ,� CITY: t. ZIP: 15 SSy�Ip <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ,>C _ Land Alteration <br /> PROPOSED WORK(describe in detail): b1h Ih.QBI.. t �- <br /> �ri o rL00--\ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 accordauce with the approved plan. <br /> APPLICANT'S SIGNATURE: r DATE: q- 1 a"0/ <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 />