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Total Fee: $ �/, j�: Date Received: <br /> , Entered By: ;�� Permit#: ,' �� i:' <br /> CITY OF ORONO — BUILDING PERNIIT APPLICATION `�'E�-���>-;�"�-�;�:��� <br /> All information must be submitted in full before plan review will be startec���� � S 1999 <br /> (please print all information) �;i��7 �::.�-�;;=;��,ti� <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: d9 O �.�.p ZIP: <br /> J PHONE: (home) le�a—�!78'�6—S 9� <br /> NAME OF OWNER: �„�Q,,Q ��� <br /> �W�,rk� �... <br /> MAILING ADDRESS: 1e5�l o'� �}«( � e � CITY: �f q�yJ e. � ZIP: Sv � <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 /> N�,ME; REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: f� )C /6 S�c� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /d 1 D� a� <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: i����f ' " DATE: .� 9�9' <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 />