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Total Fee: $ sc) • q y Date Received: C) 7 <br /> Entered By: -C-A. Permit#: 1100 <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: // f:�2 O ZIP: ` <br /> NAME OF OWNER: z�� 'o2 L ,6�HONE: (home)5e 91- �/3 <br /> (work) <br /> MAILING ADDRESS-,//z) dCITY•�2 ZIP• <br /> CONTRACTOR: PHONE: <br /> PHONE: <br /> CONTACTPERSON: _ MOBILE/PAGER: <br /> MAILING ADDRESS: - CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition �ccessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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: �c� D 1'2 <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 />