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Total Fee: $ (Q( 0 , Date Received: <br /> Entered By: Permit #: R-0 <br /> ri <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) OWNER O' CONTRACTO: <br /> JOB SITE ADDRESS: di go a), w %-).24W ele.4,,e, ZIP: <br /> NAME OF OWNER: (; f, /6‘ex,,,A/ PHONE: (home) <br /> (work) 9,5";)- - 3 7 Y 7 <br /> MAILING ADDRESS: 0)/9 w, ia#,- CITY: 0/1 2 vo ZIP: <br /> CONTRACTOR: ,e _.„/„,‘„,,, ( PHONE: is/L-gi'77 -7y-'00 0 <br /> CONTACT PERSON: �i MOBILE/PAGER: ee1L� e.fa 7 <br /> MAILING ADDRESS: /0i x„o.,,//4„. ,4 CITY: / /,. , ZIP: ,375--yo s- <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /,/iy ,j / t PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X' Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 000 <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 ith the approved plan. <br /> APPLICANT'S SIGNAT ' �j/� DATE: 5 <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 /> 9 <br />