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Total Fee: $ Date Received: <br /> Entered By: Permit#: .4/Ogg <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: 12400 =Vtk44 0 ZIP: <br /> NAME OF OWNER: „tj� /z-, ONE: (home) - 7 <br /> (work) <br /> MAILING ADDRESS: 4= -MkjGf&0- ,<jq CITY: p, ktp ZIP: <br /> CONTRACTOR: Df e,-r7 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: a,/3 I P• F� <br /> MAILING ADDRESS: J?o CITY: -ny,� PZIP: 5 31 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ C Land Alteration <br /> PROPOSED WORK(describe in detail): 1_40* &c. <br /> �-w7r,t*A 4 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. j <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ //' <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: Z <br /> NOTE! Parade of Homes events requi `e 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 />