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Total Fee: $ q q d U Date Received: <br /> Entered By: _ Permit#: <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 ONTRACTO <br /> JOB SITE ADDRESS: Z rJ O V z V-e-i c 1 A �caaA ZIP: 5539 1 <br /> NAMEOF OWNER: PHONE: (home)9 52 -y 13-oS Z-7 <br /> (work) <br /> MAILING ADDRESS: 2 U o CITY: D 2 o m o ZIP: G 3 91 <br /> CONTRACTOR: _ N 1 4 �o M 2►.I i PHONE: (o t Z- 2 81 - 7(o$3 <br /> CONTACT PERSON: L/yQ 4 MOBILE/PAGER <br /> MAILING ADDRESS:,?So iD ei ut CITY: a in k- ZIP: <br /> STATE LICENSE: # 201 Z 65 1 <br /> ARCHITECT/ENGINEER: 0-cp -1,-) PHONE: c15 57y�S <br /> MAILING ADDRESS: /Z 3 o el CITY: ) rope ICS ZIP: 5j�- <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): 16 SOX/g-.10 ifity 54diawt%I� <br /> STORIES: SQ. FEET OF EACH FLOOR: 0 o <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. _3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /75 , oo p. oo <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: r� v DATE: <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 /> 5 <br />