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Total-Fee: $ j10 5, DateReceived: U (� 3 <br /> Date Approved: <br /> Entered By: r Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> q BE STARTED <br /> ----------------------------------------------------------------------------------- --------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR`CONTRACTR�' <br /> JOB SITE ADDRESS: ` `"'� ZIP: <br /> NAME OF OWNER: ` PHONE: (home) <br /> (work) �/z -,91f v <br /> MAILING ADDRESS: �u�`� �"'"` CITY: f 2_0,1 y ZIP: '?S <br /> CONTRACTOR: PHONE: <br /> �OBILE Pj1ONE/PAGER: <br /> MAILINGADDRESS: 36 CITY:P f U :I ZIP: SS 33 7 <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 /> PROPOSEDWORK(describe indetail): <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 <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 rst nd this is not a permit and work is not to start <br /> without a permit; and that the work w' be in accordance with the approved plan. <br /> I . <br /> APPLICANT'S SIGNATURE/?!/ ' <br /> IGNATUREDATE: LO/ 3/ <br /> NOTE! Parade of Homes events require separ a permit approval by Police Department and <br /> City Council 60 days prior to the event. 11Fatl permitted events will not be allowed. <br /> 9 <br />