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Total Fee: 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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: SS G <br /> NAME OF OWNER: A,;4i?v. PHONE: (home) <br /> (work) <br /> AIAILLNG ADDRESS: G4l IL-. CITY: L-d&, ZIP: <br /> CONTRACTOR: ' 2L(Wy PHONE: <br /> C ONTACT PERSON: - MOBILE/PAGER: - - <br /> n-UL NG ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINi `EER: PHONE: <br /> MAILr'G ADDRESS: CITY: ZIP: <br /> NAiME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT-. DET. <br /> �U <br /> ESTL IA.TED CONSTRUCTION VALUATION (excluding land): S of �� <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: OAeje, � — DATE: 7''��� <br /> NOTE! Earade-of Parade-ofHomes events require separate permit approval by Police Depgrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />