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Total Fee: $ j 0. 5`/ Date Received: � <br /> Entered By: Ick Permit#: C <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 /> ------------------------------------------------------------------------CONTRACTO <br /> ---------- --------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR <br /> JOB SITE ADDRESS: `TO r`' � ` �` r ' ZIP: S <br /> NAME OF OWNER: 1 �e w PHONE: (home) q-7 �l <br /> (work) .-I `f -7 - 9C 3 <br /> MAILING ADDRESS: S7�- �'S s e rc �� '' CITY: 0 to ZIP: S <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # S'(« <br /> ARCHITECT/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_j � <br /> (describe in detail): 1 0.S '^ `'�► �" <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ! �57► c> <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 ance with the approved plan. <br /> APPLICANT'S SIGNAT � . <br /> 49 <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 />