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Total Fee: $, 0 Date Received: �� 0— c 0 <br /> Entered By: ,,(� Permit#: -o--a�� <br /> Ac;Z A4 /co <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 /> ---�Z ----------------------- <br /> THE APPLICANT IS: (circle one) OWNER OW16ONTRACTOV <br /> JOB SITE ADDRESS: pl�/� G �,P�Tpcc.v9 ZIP: -5533'6 <br /> NAME OF OWNER: g 0 PHONE: (home) <br /> / (work) <br /> MAILING ADDRESS: J� (� /���� j�kITY: ZIP: 5�;-3� <br /> CONTRACTOR: (J(JP`S Ko (lo PHONE: n>d Q <br /> CONTACT PERSON: MOBILE/PAGER: --3'0 ( $ g $ g <br /> MAILING ADDRESS: L/30 ) CITY: 5'L ZIP: s I / <br /> STATE LICENSE: # V ,2 <br /> 3 <br /> ARCHITECT/ENGE*EER: 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): ���Z� �� �P rc{� G9•y/ �=C% �GS�� <br /> STORIES: _ SQ. FEET OF EACH FLOOR: V <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. T. <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: L� s <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 /> 9 <br />