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fj <br /> Total Fee: $ Date Received: <br /> #:ermit <br /> Entered By: t ,�,�... Py . <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: a(� ZIP: S <� <br /> NAME OF OWNER: �{ � .�_'k PHONE: (home) ?-47c, <br /> (work) 61 Z, 4,Z-"- e> <br /> ,,NIAILING ADDRESS: S 6- e ni s t;� °`f CITY: ZIP: <br /> CONTRACTOR: ' yam_ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGLNEER: PH0N`E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF `FORK: New Addition Accessory Structure 7�<= <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`YORK(describe in det il): �,r , ( c�� V,-� b�� � �C'� � r, <br /> C,cc c k�- <br /> C, -- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT-. DET. - <br /> ESTL-vIATED CONSTRUCTION VALUATION' (excluding land): S <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 /> ' A <br /> APPLICA\TTS SIGNATURE: <br /> �V �' G�/ DATE: <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Depqrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />