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Total Fee: $ Date Received: <br /> Entered By: ,-� Permit#: z)--y <br /> 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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: AR)U 0 W E 6 6- g/7(S P ZIP: <br /> NAME OF OWNER: lodr fK eT! 1( PHONE: (home) <br /> (work) q 3 3 <br /> MAILING ADDRESS:07/o d W/6/3 Wats/s Y CITY: aro noO ZIP: <br /> CONTRACTOR: 6 &e{/'j Cif a PHONE: LL - 3 f I 46.22 <br /> CONTACT PERSON: IDie.v0 6 6e rr MOBILE/PAGER: <br /> MAILING ADDRESS:Ib(o? Ca 124 CITY: (rco, 11-1‘• ZIP: S-5---5-7 y <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 Alteration <br /> PROPOSED WORK(describe in detail): 7ffRo a r T6 o rp <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3.5(10 ,°-°— <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 N r DATE: )( <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 />