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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) OWNER O TRACTO9 <br /> JOB SITE ADDRESS: l 1 1 0 &r3 t56--(. 4 PI ZIP: <br /> NAME OF OWNER: N i K PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: A//0/0 W 3 //i7/s A-' CITY: go WD ZIP: <br /> CONTRACTOR: iI6-/ / /'-f (o, t a Nc PHONE: WO/02- <br /> CONTACT PERSON: D*' i3e rry MOBILE/PAGER: —3// <br /> MAILING ADDRESS:Z6,25 G CITY:CD its)a-►-(-N ZIP: ss 3-71 <br /> STATE LICENSE: # e70.2eiy <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): R6nooF/ w/T `'PP <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 7 7e, <br /> v4 <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 -4 ', -���`'� DATE: // '7-7b <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 />