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� <br /> � <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 /> JOB SITE ADDRESS: �4�7 fF..�2 illD/4LE �D. 1V• ZIP: 5539! <br /> NAME OF OWNER: ��u1 ED S�l:i"1'A �S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 6'0 7 FER-n1 QAc.E i2�0 N CITY: �,y y?�q.TA Z�� 5 S`39 I <br /> CONTRACTOR: LA�C.E�2 N-o M�S t��. PHONE: <br /> CONTACT PERSON: � N LA�.E� MOBILE/PAGER: ,3g b- `7to?5 <br /> MAILING ADDRESS: �90 FERN DfF LE ftA. td. CITY: W A�zA�-r�4� Z�: 5�3 9� <br /> STATE LICENSE: # �o o��o�� <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 /> PROPOSED WORK(describe in detain: QEn10 V 6 0 Q�v E w�Y fl�J D B ot,.��D <br /> �E�1'Y1 e�[ E145T Lt�T Lt►JE ��oo Gu. vAs� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION 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 Ciry 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 e approved plan. <br /> APPLICANT'S SIGNATURE: DATE: .�.2- <br /> NOTE! Parade o,f Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />