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I � i <br /> Total Fee: $ 1 ' _ – <br /> l(/ Date Received• <br /> Entered By: Permit#: S <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRALTO <br /> JOB SITE ADDRESS: Zip: — <br /> NAME OF OWNER: PHONE: (home)�j� �33i1 <br /> (work) <br /> MAILING ADDRESS, ljy7 jr)N3:!0q 14 CITY: Lpc>N0 ZIP: , <br /> li <br /> CONTRACTOR: CQ, PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS• CITY: ZIP: ' <br /> STATE LICENSE: # 3Z <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING,ADDRESS- cb CITY: ������ , ZIP: L' <br /> REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOS DRK(describe in detail): AIX <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ C� , (�� ,,'o <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 inc rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: 3DATE: 9 '� <br /> NOTE! Parade of Homes events r uirepaYmitted <br /> a permit approval by Police Department and <br /> City Council 60 days prior to the event. Non-pt events will not be allowed. <br /> 5 <br />