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Total Fee: $, <br />Entered By: <br />3© -c-c Date Received: <br />Permit#: F <br />CITY OF ORONO - BUILDING PERMIT APPLICATION <br />All information must be submitted in full before plan review wiU be started. <br />(please print all information) <br />THE APPLICANT IS: <br />JOB SITE ADDRESS: <br />(circle one) Cj)WNE^OR CONTRACTOR <br />!A/ ZIP: T / <br />NAME OF OWNER: Tyfc (2^ll <br />/ <br />\^Y <br />MAILING ADDRESS: <br />PHONE: (horne d V /'TZ.©) <br />(work) r^/A <br />CITY: ^ ZIP; <br />CONTRACTOR; __________PHONE; <br />CONTACT PERSON: //</es MOBILE/PAGER: <br />MAILING ADDRESS:_______________________CITY:______ <br />STATE LICENSE: #____________ <br />ZIP: <br />ARCHITECT/ENGINEER; <br />MAILING ADDRESS:___ <br />NAME: _________ <br />PHONE: <br />CITY:ZIP: <br />REGISTRATION # <br />TYPE OF WORK; New <br />Move <br />Addition Accessory Structure <br />Remodel/Alteration Land Alteration <br />PROPOSED WORK (describe in detail) <br />s <br />STORIES:SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS: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 an <br />accurate; tliat the work will be in conformance with the ordinances and codes of the City an wit <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 accord,ance with the ap^poved plan. <br />DATE:APPLICANT'S SIGNATURE; <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 />(9%K. CA/tVH