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� <br /> - 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: ��S S ZA�A ZIP: S S 3 <br /> NAME OF OWNER: 2�Z \ �. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��S S �.�,�,�.. � CITY: ZIP: S S 3 <br /> CONTRACTOR: �..,5�� ��-�- PHONE: ���- �'7 7- 1(���i <br /> CONTACT PERSO : (� ,-T s MOBILE/PA ER• <br /> MAILING ADDRESS: �30 (1*� - �d CITY: a ZIP: S S 3y3 <br /> STATE LICENSE: # d.�a,�3(� l I <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 /> 0 <br /> PROPOSED WORK(describe in detai�: � il-� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j 3 , �3 v <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 und s�and this ' not a permit and work is not to start without a <br /> permit; and that the work will be ' a,Eco n e ith the approved plan. <br /> APPLICANT'S SIGNATURE: DAT'E: / � � � <br /> �,� � <br /> NOTE! Parade of Homes events require separate perntit approval by Polic`e Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 6 <br />