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Total Fee: $ � Date Received: <br /> Entered By: �'� Permit#: �` c <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: 137 y, �j-e P(g Ce ZIP: 5 36 el <br /> NAME OF OWNER: -f, ni �q Pdo rj PHONE: (home) <br /> (work) -'1,71 -0 7,�,, ,�2 <br /> MAILING ADDRESS: JArY►t CITY: ZIP: <br /> CONTRACTOR: b. Q R-f n/ LONS�uC 0,✓ PHONE: 117o2-,-16e10 <br /> CONTACT PERSON: h4 v rl9q 94-,`A,/MOBILE/PAGER: J10 - S/g <br /> MAILING ADDRESS: a!v atve CITY: iv ZIP: 63-36V <br /> STATE LICENSE: #12�QJl0S <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration d Land Alteration <br /> PROPOSED WORK(describe in detail): e4 1Zpo� mow'S f�t C N��-✓ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ z q 157 d° <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 SIGNAT DATE: 7 <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 />