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♦ Total Fee: S DateReceived: ,, ao l gk-- <br /> Date Approved: <br /> Entered By: r�, Permit#: 17,7 <br /> CITY OF ORONO - BUILDLN,G PER-AUT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> --- ------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRA <br /> _00% <br /> JOB SITE ADDRESS: ZIP:��� IOrV Vlj <br /> ec�ec_� S� <br /> `` PHONE: (homed <br /> NAME OF OWNER: iz:ii <br /> (work) <br /> MAILING ADDRESS: aN CITY: © ZIP: <br /> t <br /> ONE: <br /> CONTRACTOR: <br /> v PH NEXAGER: <br /> MAILINGADDRESS: t, CITY: ag"Ok ZIP: <br /> STATE LICENSE: # <br /> ARCHTTECTIENGINEER: PHONE: <br /> MAILING ADDRESS: �+ CITY: -- ZIP• <br /> NAME: REGISTRATION # .•.% <br /> TYPE OF WORK: New ' on Accessory Structure <br /> Move Remode Iteration Land Alteration <br /> P OPOSED WORK(describe indetail): Q �I W1�1 <br /> STORIES: '! SQ. FEET OF EACH FLOOR: mo*� <br /> NO. OF BEDROOMS: = GARAGE STALLS: ATT. DEQ"" ---- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Von-permitted events will not be allowed. <br />