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Total Fee: $ Date Received: /,z/may <br /> Entered By: Z4 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 R CONTRACTOR <br /> JOB SITE ADDRESS: // 65-- /c t�A W h 24- ZIP: 5y-3 SK <br /> NAME OF OWNER: aTA14k D PHONE: (home) 'y7/-9.5$ <br /> I (work) 26'8-1114- <br /> MAILING ADDRESS: j/g.S T�cr�w.4 x9d CITY: 0X6Wo ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: je 6;//c MOBILE/PAGER: <br /> MAILING ADDRESS: : �/I o ln,4gs L.�,� CITY: ZIP: ��3 j S <br /> STATE LICENSE: # 4,!L73 <br /> ARCHITECT/ENGINEER: ,(,I;, - PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure _ <br /> Move X Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: / SQ. FEET OF EACH FLOOR: /6$ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -'/1 ,000 -0 6 <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 7-.�oved 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. Non permitted events will not be allowed. <br /> 5 <br />