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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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: _� ��1 S �r[,c�, �L .[S y�-j !�O ZIP: .��7'/ <br /> NAME OF OWNER: Q�j./,.cl � fTi�-.v7�� PHONE: (home) ��/--��-1� <br /> (work) .��5=1��'o <br /> MAILING ADDRESS: �3�,LS-C'2�,�1'�-���,�ITY: O�a�o ZIP:S�SS'/ <br /> -T- <br /> CONTRACTOR: dwN «- - J/�- �� '�a'� PHONE: y7/—�,�� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILI�i TG 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�: �� �� ,(d �t c,� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� 0 . O o <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 Ciry and with <br /> the State Building Code; that I understand t�-is not a permit and work is not to start without a <br /> permit; and that the work will be in acc dance with the approved plan. <br /> APPLICANT'S SIGNATURE: DA�� .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 /> 6 <br />