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� <br /> 1. , � <br /> Total Fee: $ a5tp, � Date Received: �-���� <br /> Entered By: , Permit#: �'j a��J <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 O CONTRACTOR � <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: PHONE: (home)���--��f�� <br /> (work) ,�-�� 9 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ', PHONE: ��`J�- ,�'Q(� 3 <br /> CONTACTPERSON: ' MOBILE/PA : 7�/�d��� �js"/-U;�6'D <br /> MAILING ADDRESS: CITY: ZIP: -���� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: (�( (R' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NANIE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> 3oc sq <br /> PROPOSED WORK(describe in detai�: ' <br /> ' — <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BED OOMS: � GARAGE STALLS: ATT. DET. <br /> ESTINTATED �ONSTRUCTION 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; triat 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 app-�ved plan. <br /> � <br /> APPLICANT'S SIGNATURE: ♦ -� .� DATE: <br /> NOTE! Parade of Homes events require separate pernzit approval by Polic Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />