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Total Fee: $ Date Received: 0D., <br /> t 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 R CONTRACTOR <br /> JOB SITE ADDRESS: -7nI W4f'Rh4 Par " vi . ZIP: <br /> NAME OF OWNER: f `b•S M I PHONE: (home) ?,5; ,q7 j 71l(j <br /> (work) `�5�- 47/-7,6t-3 <br /> MAILING ADDRESS: (, J-�en f&et CITY: ZIP:_15 <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 V Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): G-a1-q5 e, <br /> STORIES: _ SQ. FEET OF EACH FLOOR: 940"S- <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 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: _ � DATE: 7 D <br /> NOTE! Parade Qt Homes events require separ a 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 />