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Total Fee: $ �j �� Date Received: <br /> Ente ed By: Permit#: o / <br /> CITY OF ORONO - B PERMIT APPLICATIO <br /> All information must be submitted in full before plan review will beAtprtpl 1U01 <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------QLIX Sit UjioN©-- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: e le ZIP: p�-a h o <br /> NAME OF OWNER: '76 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �� f �-y���n��{R ITY: ZIP: <br /> Mn <br /> CONTRACTOR: Eve ell S c,,fit PHONE: 2013 ' '/e-//-a i e// <br /> CONTACT PERSON: C r,`S o.- //P7�rr,r MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: r- /10 ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER Cfh 'z J�' ti °� f �� 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): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ) 0/ 000 <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: G%G`-w, a DATE: V' <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 /> 5 <br />