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i , <br /> ` Total Fee: $ - Date Received: �-�a(�/ <br /> Entered By: �„N� Permit#: �G�/v�Q�S` <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 /> ------------------------- ---------------------------- =----=-- - ---------------------- <br /> THE APPLICANT IS: (circle one) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: -� � O�J 13�'u/n1 2�.�-p ZIP: �y31� � g�'��l <br /> NAME OF OWNER: ��l��l� ✓���i� PHONE: (home) C��?-)�fiy� L'M� <br /> (work) ( ��'�) �f Z• ���r '� <br /> MAILING ADDRESS: �� � �7►��� C�D CITY: L��V4 L�t l�c= ZIP:1���� <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 /> PROPOSED WORK (describe in detai�: VZr`7�[�t-cE 11CT�(c; <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /d ��� <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: G� DATE: ��1��°( <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 />