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• d4 <br /> Total Fee: $ Date Received: /`� <br /> Entered By: <br /> 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 I R CONTRACTOR <br /> JOB SITE ADDRESS: Lk 3 S ( , - - ZIP: 53 3 t;q <br /> NAME OF OWNER: YL46U / Krziy\_ PHONE: (home) fs <br /> r (work) 612 - t 7-3 ( <br /> MAILING ADDRESS: 7('j5j17 i„,,-- CITY:(51,'r1,.‘e, ZIP:c"S3 q <br /> CONTRACTOR: 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 <br /> Move Remodel/Alteration Land Alteration <br /> PROPO. ,D WORK(describe in detail): c. cf6A- ///23 e /1 <br /> STORIES: [ SQ. FEET OF EACH FLOOR: /2-50 <br /> NO. OF BEDROOMS: 2- GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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: <br /> • <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 />