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Total Fee: $ f T. G-6 Date Received: <br /> Entered By: Permit#: y I/0-6 <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 OR CTRACTOR <br /> JOB SITE ADDRESS: ,26 2-5 t ,EMr_2 fl/LLS /J ZIP: <br /> NAME OF OWNER: YO /-1J tt PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 5n,11" CITY: ZIP: <br /> CONTRACTOR: Zdy, ._54/iirr I NST/e_ )cr-idrI)/•ic PHONE: y 7,-2- 5 3 <br /> CONTACT PERSON:Am MOBILE/PAGER: <br /> MAILING ADDRESS: �s�y,) CITY: /1 jeG)%L?.D ZIP: “65:34y <br /> STATE LICENSE: # 53o9 <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 Alteration <br /> PROPOSED WORK(describe in detail): r� jz y�/=r f c� irvG c). <br /> /t}E -> /L'DGy/=i/z)c. <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: <br /> r v <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 />