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Total Fee: $ �l� ' �� Date Received: I!-/3-U Z <br /> Entered By:� � �'� Permit�#: ��� �� 3 a.. <br /> ����� �//z s Jo z <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 /> THE APPLICANT IS: (circle one) OWNER � R CONTRACTOR <br /> JOB SITE ADDRESS: �,�1/� ��c7 •��. i��� «�;,�1� ZIP: <br /> 7`—` <br /> NAME OF OWNER: '�'�l v ` ��,t� �+�k PHONE: (home) <br /> (work�i/d• �7�- �C, :�� <br /> MAILING ADDRESS: S c:r�� �. CITY: S���° 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: New Addition� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � (�/`��`� �U� T� ���(�/��� <br /> STORIES: � SQ. FEET OF EACH FLOOR: �� I �o <br /> NO. OF BEDROOMS: -{�— GARAGE STALLS: ATT. -U DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Q,DGd <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 pernait and work is not to start without a <br /> permit; and that the work will be in accqrdance with th�approved plan. <br /> . �� / <br /> � k�._-� , <br /> APPLICANT'S SIGNATURE: DATE: ,.�� <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 />