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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 R CONTRACTOR <br /> JOB SITE ADDRESS: ' CO ' '►�'1 � ZIP: .�5356 <br /> OrpY�O� M <br /> �vaN� oF owrrE : a� PHONE: (riome) �73�,4-77 <br /> (work) <br /> MAII..ING ADDRESS: 26( y � CITY: �yI ' ZIP: 553�6 <br /> CONTRACTOR: e1 PHONE: <br /> C0�1'I'ACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> ST aTE LICENSE: # <br /> AP.CHITECT/ENGINEER: PHONE: <br /> 1I.�ILING ADDRESS: CITY: ZIP: <br /> �:�I�IE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK (describe in detai�: � <br /> ro o m, ! Q�v�v` ,� � vP L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $��(�Q, �0 <br /> I hereby apply for a building pernut 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 Buildin� 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 i an e w'th the approved plan. <br /> APPLICANT'S SIGNATURE: DAT'E: �-'8-�� <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 />