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Total Fee: $ do Q �7Z Date Received: 40 59// <br /> Entered By: ermit#: /Z./ / D2-- <br /> CITY OF ORONO-tU LDING PERTNIIT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: 5.53 SCP <br /> NA1NIE OF OWNER: PHONE: (home) <br /> �J (work)762 b 0.9. <br /> NLA-jLrriG ADDRESS: 411)6 � CITY: ZIP: <br /> CONTRACTOR: D N! PHONE: 7,0j j, a <br /> CONTACT PERSON: ri0 E/PAGER: D <br /> MAILING ADDRESS: D CITY: IP:�c{( <br /> STATE LICENSE: # ,? a <br /> ARCHITECT/ENGINEER: GST ZSOv� PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP. <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration k,,' Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTL iATED CONSTRUCTION VALUATION (excluding land): $ , DDIf <br /> D <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; chat 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 /> perm;'- ?-nd that the work will be in accordance with the approved plan. <br /> APPL;CANT'S SIGNATURE: <br /> DATE: �����D o2� <br /> NOTE! Parade 12f 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 />