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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 OR CONTRACTOR <br /> JOB SITE ADDRESS: / 004 W.lA 5T ZIP: <br /> NAME OF OWNER: 0".L., 7 S t`Q,,, ._ PHONE: (home) fD /c7-- /0 V/CK) <br /> ✓ (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: •w PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure c/ 11461 <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detail): 5-p 2 S cc p 2 /ik e. 14'`S <br /> ✓ <br /> • <br /> STORIES: SQ. FEET OF EACH FLOOR: ✓ P 1 <br /> NO. OF BEDROOMS: • GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `[ i5 ; 0aD <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: 2 a o Z C1)!).)\)NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> � <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 �, <br />