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, Tc,"'tal 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) �WNER R CONTRACTOR <br /> JOB SITE ADDRESS: 1 C1� �,��� ,�,��,� ZIP: <br /> NAME OF OWNER: � PHONE: (home) (�s I "�/S���v a 3p <br /> (work) (� I� - �-7 S �- �'��� <br /> MAILING ADDRESS: L-{� ��� �.�.o,,•� � CITY: C„� ZIP: S�.�. ► �� <br /> CONTRACTOR: rn E,� PHONE: C� I� -�7 � _��7�� <br /> CONTACT PERSON: • ,�,,,,.:,,� MOBILE/PAGER: ��,� -a-7 S -��� ,�^ <br /> MAILING ADDRESS: �{11�'� �,,b�cY.-. ,�.� CITY: ZIP: j��� <br /> STATE LICENSE: # ,�� � �� �� 7 <br /> ARCHITECT/ENGINEER: ��� PHONE: <br /> MAILING ADDRESS: CITY: ���- ZIP: <br /> NAME: REGISTRA ION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration �_ Land Alteration <br /> PROPOSED WORK(describe in detain: �iy�,,���fI��,`;�;r� �Q�,�,�Q cY,�c�,c.,�n��Z,�-�� <br /> > <br /> STORIES: ��� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: ,� GARAGE STALLS: ATT. DET. � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Q �0�'� <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: � �, ,� �,� DATE: Z �2� /��,� <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />