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Total Fee: S Date Received: <br /> Date Aporoved: <br /> Entered By: �(1�1�J Pe.=t 1: .79 -76 <br /> CITY OF ORONO - BI MDING PERIMIT APPLICATION <br /> ALL LN-FOR_NUMON MUST BE SLBI IITTED IN FULL BEFORE PLAIN REVIEW tiVILL <br /> BE STARTED <br /> THE APPLIC A.NT IS: N (circle one) OWNER R CONTRACTO <br /> JOB SITE ADDRESS: -5 ZIP: <br /> NA`Lv E OF OWNER: �Z�Q �J 01C, S PHONE: (home)z473 -7q(,>?G <br /> (work) <br /> . L-'ULDi G ADDRESS: O CITY:_LRCM" 2 ZIP: <br /> CONTRACTOR: � A�a�'�C— PHONE: -74) —73 <br /> t <br /> g�)R,TtPHO E/PAGER: <br /> ' aS CITY: ZIP- <br /> .NfAILDtiGADDRESS:Q3 L --- <br /> STATE LICENSE: # D l <br /> ARCB=CTfENGLti-EER: PHONE: <br /> : CITY: ZIP: <br /> MAMD;GA,I)DRESS <br /> NAIME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeL�Alteration Land Altzrarion <br /> PROPOSED WORK(descrieindemil): z) �oo <br /> d <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLMATED CONSTRUCTION VALUATION(excluding land): S 70 <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 accordance with the approved plan. <br /> APPLICAN'T'S SIGNATL �- DATE: <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 />