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0/1 Total Fee: $ ((pgD.1.g C v'w Date Received: t �� <br /> Entered By: r f� Permit #: <br /> �i1slp3 <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 4�S `Tuan h' ZIP: <br /> NAME OF OWNER: P/�1�1f_ J QN]C�( PHONE: (home �-�- -323Z <br /> (work) ("\ <br /> MAILING ADDRESS: TU.rio�1wv\ CITY: Croy-)o ZIP: <br /> CONTRACTOR: F-)N--y M l PHONE: ((o;Z 12�-113 <br /> CONTACT PERSON: MOBILE/PAGER: !:�AC- <br /> MAILING ADDRESS: Fl CITY: a ZIP:_0 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: � C PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure X_ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 0)Qh VA <br /> STORIES: ( SQ.FEET OF EACH FLOOR: -2- <br /> NO. <br /> 2NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0 & , xy <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 'n accorilance with the approved plan. <br /> APPLICANT'S SIGNATURE: 1 DATE: �' ( - <br /> NOTE! Parade of Homes events require separ to permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />