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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> THE APPLICANT IS: (circle one) ,C t OR CONTRACTOR <br /> JOB SITE ADDRESS: 210 A)Q.4-1-- bate/ex � P: 53-3 <br /> ,44 <br /> NAME OF OWNER: dr / k_d4,4.j/ 'HONE: (home) <br /> IP (work `/7 3 -S S <br /> MAILING ADDRESS: e, I [TY: ZIP: S.s ,9"l <br /> CONTRACTOR: ()"4.-en ? 1 s PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: I�K PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration K <br /> PR$PO ED WORK(describe in detail): • ' Afl w/ti C7. U t �`�'C 't-- , ,Peg m441- <br /> 4 , ,al A <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 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 �cordance with s e .pproved plan. <br /> 1y <br /> APPLICANT'S SIGNA '. :�� �/ DATE: /l 5;40(9CJ <br /> NOTE! Parade of Homes eve quire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />