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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 d 7-,::,-,k ZIP: -5a--3 s <br /> NAME OF OWNER: a -C je v e-,,c PHONE: (home) 4/7/- Y n 3 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: kf . ev., 's 7 �, PHONE: y <br /> CONTACT PERSON: MOBILE/PAGER: s 3 <br /> MAILING ADDRESS: 2j,' CITY: ea ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: U y4 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> a <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPO§FD W (de Eribe in etail): <br /> -_-1- rls Gil t C <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ?- -5-7--0 <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: `/-.2 y- 8181 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitt ev rt <br /> will not be al w . 0 <br /> sQ� 'U��� <br />