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' Total Fee: $ �O 7� �--� Date Received: <br /> Entered By: Permit#: 9�l6 � <br /> CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTOR <br /> JOB SITE ADDRESS: � �Q�..� ZIp; .�'�'��� � <br /> NAME OF OWNER:�C) L l�. PHONE: home <br /> . � ( )� (- <br /> (work) <br /> MAILING ADDRESS:�� � CITY: ZIP: <br /> CONTRACTOR: �, �.��.��� PHONE:� /�Z'— I�� <br /> CONTACT PERSON: ��} MOBILE/PAGE : �t7� ^�Q�'Z. <br /> MAILING ADDRESS: ���„�1�� CITY: .,- ZIP:fGZ�,�'� <br /> STATE LICENSE: #�a b�-��'j� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI'Ty; ZIp; <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration <br /> OPOSED WORK describe in detai�: — � C <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDR OMS: Z GARAGE STALLS: ATT. DET. <br /> �� <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ (� �O� "�— <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 w' the approved plan. <br /> APPLICANT'S SIGNATURE: DATE:�'r� '� � <br /> NOTE! Parade of Homes events require parate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />