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� Total 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 /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: � 3 � C� � �� � � � � ZIP: � 5 � � �I <br /> NAI�IE OF OWNER: ��c? Vtcx �--�, �2 �'�a ,���. PHONE: (home) �(S:� �5����7 a p <br /> (work) G c 2 7�1 " 13�t 6 <br /> MAILING ADDRESS: `-f 3 6� � ��.;� .� ��� �,� CITY: ��ti'�„ �,:.. ZIP: 5� 3 s�`1 <br /> CO\�RACTOR: PHOl�'E:_ <br /> COr'TACT PERSON: NIOBILE/PAGER: <br /> 1VLAILI�i 1G ADDRESS: CITY: ZIP: <br /> ST�T'E LICENSE: # <br /> ARCHI'I'ECT/ENGINEER: PHO�IE: <br /> NIAII..ING ADDRESS: CITY: ZIP: <br /> �,T���; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure C <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: .C�r�<< � lG �klU � s��� __ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: � � GARAGE STALLS: ATT. DET. <br /> ESTL�IATED 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 wi1I be in accordance with the approved plan. <br /> � <br /> APPLICAI�iT'S SIGNATURE: � ...,►, I�, � I''��.. DATE: �U " � 7� � 3 <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 />