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Total Fee: $; �b 4.O(0 Date Received: <br /> Entered By: Z14_ Permit#: // 7'7 <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 /> ---------------------------------------------------CF7�� <br /> ---------------------------------------------- <br /> THE APPLICANT IS: (circle one) CONTRACTOR <br /> JOB SITE ADDRESS: 9 Y 03 W A I-7igf2S PLOW ' L A/V 4y ZIP: <br /> NAME OF OWNER: /?e e--Se- Z/Z PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: x1703 a� ;ObQ 1^1q-NE CITY: ZIP:625-&91 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 /> PROPOSED WORK(describe in detail): / APA CC CX ts1.vCK W/A AH <br /> w <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /D,DOO. 00 <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: =a� ' 6/ DATE: If-9 f <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 />