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Total Fee: $ 105, 5-7 Date Received: /1�1 /0 3 <br /> Entered By: /2Permit#: <br /> CITY OF ORONO - BUILDING PERNUT 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)( CONTRACTOR <br /> JOB SITE ADDRESS: '3 d ,`— Gt'/,y e r 40 W/I IP: <br /> NAME OF OWNER: /7-onPHONE: (home) <br /> (work)76'1 - 5-y-q-O 2 s-j <br /> MAILING ADDRESS: ZX CITY: v 1 ZIP: <br /> CONTRACTOR: To bly Fl`WY1-7 PHONE: <br /> CONTACT PERSON: t-a xg-1W L),yt,1W M_ OBILE/PAGER:I/2-rVO t* <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): FP 1 raj11'r- 4/ i-11 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 00 <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 ccordance with the approved plan. <br /> APPLICANT'S SIGNAT DATE: /— —d 3 <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 />