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Total Fee: $ `d ! • 5a' Date Received: <br /> Entered By: .l-L; Permit#: ,i'"�'7 Ay�"- <br /> � <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 R CONTRACTOR <br /> JOB SITE ADDRESS: c�� 7�� �'���(��5 ���� ���, ����Q��zr;��.�ZIP: �� �� I <br /> NAME OF OWNER: �c-•���,�_ `�d`�� � PHONE: (home) �—\��� �.� ��l _� <br /> (work) U� I � �-�-�-R � <br /> MAILING ADDRESS: C.�,(�`�'� CITY: ZIP: <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: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> r� <br /> PROPOSED\WO . (describe in detai�: �C� � �-��f�• i r ';t�''r`1,� <br /> ` Ct � ����-,'v C3 C"�;z �� � ,� ..�--�� .� n <br /> , <br /> _, <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: �,� C,J;, DATE: �"' � � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />