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Total Fee: $ ` C - C--A) DateReceived: <br /> Date Approved: <br /> Entered By: Permit#: , 6 ci <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 9,6 o ► �a� t�- i ZIP: <br /> NAME OF OWNER: )o O PHONE: (home) 1171 - 935 <br /> (work) <br /> MAILING ADDRESS: 680,4 7r, CITY: 7A ,. o` ZIP: <br /> CONTRACTOR: (2 c F.f �^- -- PHONE: 7L - L4 1 Sl <br /> MILE PHONE/PAGER: 7S0 - 3`7 W <br /> MAILING ADDRESS: 3 1 S P CITY: fou.--e( ZIP: <br /> STATE LICENSE: # o as 3 <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 indetail): fi n. c <br /> eptax a <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 <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accor'ance with the approved plan. <br /> APPLICANT'S SIGNATURE: �! _ DATE: 3 --19 - `JL <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 />