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Total Fee: $ Date Received: <br /> Entered By: Permit#: // V-2-f <br /> I <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 /> THE APPLICANT IS: (circle one) OWNER O NTRACTOR <br /> JOB SITE ADDRESS: 3 7U/LN�l,�M ZIP: SS3 S� <br /> /��rzlJ 2F�/Ns <br /> NAME OF OWNER: � PHONE: (home) >6- <br /> 5` 9301 <br /> (work) <br /> MAILING ADDRESS: I-Zo 7M CITY: oR01�10 ZIP: S3 9 <br /> CONTRACTOR: 1900�/41N /"f9o�4 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 3 u o Nom`'/69 No CITY: / 4/-OC4) ZIP: s <br /> STATE LICENSE: # 53/4 �S f <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New 1� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> D <br /> PROPOSED WORK(describe in detail): 6'1°"� A0—,AA0—,Az- ")'''-0 � <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -;�9 1909• 9- <br /> 1 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 accord e with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade of Homes events require separ a 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 />