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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ,J/�� �Q����(`� �►v'�,I� ZIP: ���� <br /> NAME OF OWNER: �DIC��/C� �7%yJ U/�/�,�.�i1.�� PHONE: (home) �/oZ"y�a.--%��� <br /> (work) �/�2��' - OD5 <br /> MAILING ADDRESS: (e�/�-� -�r�a'�a•� l��/s. cITY: ,Ca��.�,r�_ z�:��� <br /> �. <br /> CONTRACTOR: ���j�-' ��l�P,��'�it/�� PHONE: <br /> CONTACT PERSON: � .+���,� QS nr L�D�-!�OBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: %✓�/� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � ,�D�J�-� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �, G'G�� . — <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 /> � // <br /> APPLICANT'S SIGNATURE:��1i���/ '' 2 DATE: �/�v� -�QG��`' <br /> NOTE! Parade Qf 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 />