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~Total Fee: $ j Date Received: <br /> Entered By: `a, ',#', n Permit#: <br /> CITY OF ORONO - B - I ING 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) OWNER DR CONTRACTOR <br /> JOB SITE ADDRESS: (: (C,- (.6)ez7 2- t3 t✓CC ZIP: _5'5')SY <br /> Oram, <br /> NAME OF OWNER: ' r-tx;• 1.74 E�Nr e'f z s PHONE: (home) V‘z ?;•-c/-04?;? <br /> /� (work) �_'- <br /> ' �^ Y? --/ 33 <br /> MAILING ADDRESS: 1e Vc'7‘ CITY: 6'r efre ZIP: S's—,)x' ' <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <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 Alteratio <br /> PROPOSED WORK(describe in detail): I"c re e <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 in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: - - DATE: Y(2_,0 <br /> � <br /> NOTE! Parade of Homes events require separa a permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />