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G <br /> Total Fee: $ f J O Date Received: C�D <br /> Entered By: Permit#: - <br /> CITY OF ORONO - BUILDING PERNIIT 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: 3t,015' 0 e r-zl-b�ZIP: <br /> NAME OF OWNER: HONE: (home) <br /> (work) e3 - 9-D a_1 <br /> NLA-I LLNG ADDRESS: CITY: Z : <br /> CONTR-,kCTOR: el PHONE: 7LP'j <br /> CONTACT PERSON: M ILE/PAGER:(o fa- �gam <br /> rVIA L 1G ADDRESS:�I P t�,� G� �c�Com: ZIP�� <br /> STATE LICENSE: # �•7.0 <br /> ARCHITECT/ENG1NEER: ..h1/ S PHONE: <br /> HAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF `YORK: New r Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): -a / )�knp- <br /> STORIES: SQ.FEET OF EACH FLOOR.--3,5-0-2- . s2,�? -lD - <br /> NO. OF BEDROOMS: ' GARAGE STALLS: ATT. Y DET. <br /> ESTL TATED CONSTRUCTION VALUATION (excluding land): <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 /> pear � ?_nd that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA'T'URE: DATE: <br /> NOTE! Parade Qf 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 />