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� � � Total Fee: $ �`v p�� Date Received: 9 � <br /> Entered By: �,� Permit#: 3� ��� <br /> CITY OF ORONO - BiTII�DING 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 O CONTRACTOR <br /> JOB SITE ADDRESS: oi��5 �b�N�do� �� zrn: �.�3�� <br /> ' <br /> NAME OF OWNER: ��+K�T E PO��'( PHONE: (home)�0�1-/yl3 <br /> (work) r�oy-o.sc�� <br /> MAILING ADDRESS: o� �f5 s9-bi�uc�� C.t�u�y CITY: prvr.�e� ZIP:S53.S� <br /> CONTRACTOR: � I�ill�.in�� C�,^+���r�.�irir� PHONE:_ �%17.5-���7 <br /> CONTACT PERSON: �'�� �J,e�� � MOBILE/PAGER: <br /> MAILING ADDRESS: /g�aF�3 rn t�A- �Lv�( CITY:/���/� ZIP: �3`t/ <br /> STATE LICENSE: # ��'� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI1'Y: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration '� Land Alteration <br /> PROPOSED WORK(describe in detai�: Remod�l ki I�e�n,� C�v�e,t+ (�v�l �o <br /> , o <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 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: !��C�� <br /> NOTE! Parade o Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />