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� <br /> „Tczal Fee: $ Date Received: <br /> � Entered By: 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: J � Z- I �S L� � � r c, 1 -� ZIP: <br /> NAME OF OWNER: M�tr k �p uq a� 1 `� PHONE: (home) 3 3 3—� S�� <br /> � s�,,�� (work) <br /> MAILING ADDRESS: 7D � z^� ��e �3 2- CITY: {Melf - ZIP: S s�d z <br /> CONTRACTOR: T h �� r�n �' k C-o� � PHONE: S`7�t�Q,�S <br /> CONTACT PERSON: �o,-,,� ��r�2 v� k M BILE/PAGER: <br /> MAILING ADDRESS: 3(0 3 d 1Jor�-�.e.ar h �v 2.. CITY: �l✓�iyZ�.�a ZIP: 5 �3 R� <br /> STATE LICENSE: # Z-�v Zdc� 3 g <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1VIAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x' Land Alteration <br /> PROPOSED WORK(describe in detai�: ►�e ruc� � �a t'c� �h ew 5����eS <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2' 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 Ciry 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:Iz'J�—�/C� <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 /> 6 <br />