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Total Fee: $ C/C� Date Received: <br /> Entered By: Permit#: Ab <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: t (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: `I U� i l�d 1)7" ZIP: <br /> NAME OF OWNER: �r�-e,/�� PHONE: (home) Y73— 9W <br /> (work) <br /> MAILING ADDRESS: �O� v,` CITY: (, ZIP: �o` <br /> 00 <br /> �SZ vv- S7c,-5— Jn <br /> CONTRACTOR: 2 PHONE: <br /> CONTACT PERSON: ( MOBILE/PAGE : <br /> MAILING ADDRESS: d CITY: Lam ZIP: <br /> STATE LICENSE: # Z-01 3G <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> 9,,� <br /> TYPE OF WORK: New Addition LZ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Ste, 4�1 <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: 1 A11P <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 />