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Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> -------------- -------------(-----------�----------------------------- ----- <br /> �..�------�--------------------- <br /> THE APPLICANT IS: circle one OWNER O CONTRACT <br /> JOB SITE ADDRESS: 1,5s�t(v ' ' V 111 �( t ZIP: <br /> NAME OF OWNER: irn C of (I l PHONE: (home) <br /> _ "work) 10�)-Ry1) -94a?) <br /> MAILING ADDRESS:. )S�_I"(Avl01 I CITY: W np ZIP:`!52351 <br /> CONTRACTOR: Y - � USS PHONE: q (� <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: 6 w ejv � CITY: ZIP: <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 )L Land Alteration <br /> PROPOSED WORK(describe indet il): r A <br /> (MAV jPaE(jCk_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a Q oU <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work.is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: Uy ,, vww� 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 />