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„ l Totai Fee: $ 39. 75' Date Received: <br /> ,O*l” Entered By: Permit#: <br /> -p 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 CONTRACTOR <br /> JOB SITE ADDRESS: Z g6Y5- W d 12°C74w r1 /d ZIP: <br /> NAME OF OWNER: 70,q PHONE: (home)�� <br /> (work) <br /> MAILING ADDRESS: Vl®a ) ,O rj CITY: &,w ZIP: y Z <br /> CONTRACTOR: Td,,-t F'-wed PHONE: <br /> CONTACT PERSON: Z rv, MOBILE/PAGER: Z- <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # -32 z G <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ?C Land Alteration <br /> PROPOSED WORK(describe in detail): NCqc)- h) �c— <br /> STORIES: SQ. FEET OF EACH FLOOR: 00 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /000"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 ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE• 2�-C- =c�c DATE: 01- 2e "t�z <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 />