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Total Fee: $ Date Received: <br /> Entered By: Permit#: a t,a <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 /> THE <br /> - ----------------------- <br /> THE APPLICANT IS: (circle one) OWNERCONTRACTOR <br /> JOB SITE ADDRESS: �//� t�,),q-ry - 7 A) Kd ZIP: <br /> NAME OF OWNER: sa( f1mc <br /> PHONE: (home) 7�v ��� <br /> (work) <br /> MAILING ADDRESS: y��17 (,Jl �,� �'�,,1�I /aCITY: /W- ZIP: <br /> CONTRACTOR: wd�✓ etc ,dlli�S G PHONE: 3 -0-54 7— <br /> CONTACT PERS N: o lO // ,<xI MOBILE/PAMe <br /> • 3�a W1-/- 7�! <br /> MAILING ADDRESS: 3/ 5 CITY: <i✓wl ZIP:SS� <br /> STATE LICENSE: # ,-2 a a 33,07 <br /> ARCHITECT/ENGINEER: ,�a ,OSS/6/L) PHONE: <br /> MAILING ADDRESS: fLlel� /���',��S�D.G ,CgL CITY: ZIP: <br /> NAME: 7�7= REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteratiion/ Land Alteration <br /> PROPOSED WORK(describe in detail): �O 19A7-# IW D,d e G <br /> STORIES: _ SQ. FEET OF EACH FLOOR: a <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATT. 25 DET. <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 ' ccord ce�ith the approved plan. <br /> APPLICANT'S SIGNATURE• Z DATE: ^�D <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 />