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Total Fee: $ Date Received: <br /> Entered By: O(X— Permit#: o`Z <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 102-o ZD ZIP: 3 <br /> NAME OF OWNER: _bo k G U1 11"4j223 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: (010 CITY: ZIP: <br /> CONTRACTOR: Lecv 1��Os. �o PHONE: <br /> CONTACT PERSON:nd v Thri[rud MOBILE/PAGER: (r�l�'�3—Z2;f 3 <br /> MAILING ADDRESS: Z 41 CITY: ('1;,n, -o,n 1c0. ZIP:?TL3 <br /> STATE LICENSE: # <br /> ARCHTTECT/ENGINEER: 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 detai . <br /> C;e nbnn '- 9xy" 7 ayu <br /> STORIES: SQ.FEET OF EACH FLOOR: .5t)eD <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ®dam <br /> I hereby apply for a building permit and 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 un tand this is not a permit and work is not to start without a <br /> permit; and that the work will be 7miordance with the approved pl n. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade Qf 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 /> 9 <br />