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ti <br /> Total Fee: $ / Date Received: <br /> Entered By: ,(�A Permit#: P(q 2 3 5 U <br /> CITY OF ORONO - BUILDE tG PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) �R CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: 5_5_3 5- <br /> NAbm OF OWNER: 14 o Ve!4eP_5 PHONE: (home)_ 7 Z� <br /> nn '' (work) g70Q -ZSZ 3 <br /> MAILING ADDRESS: /�(5 CITY: a ZIP: s <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 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 Accessory 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. _ G DET. <br /> •OL <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .510 <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: ` A&2 DATE: <br /> NOTE! rad of Flumes 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 />