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Total Fe�: $ 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: !�d f L�,��; L;�o(� � ZIP: SS.�C�/ <br /> NAME OF OWNER: � , � I�a� ��5�t� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��D( �w�a L;��, CITY: � � ZIP:`�_� <br /> CONTRACTOR: � �,�so PHONE: �/S�- ���c�� a�1'� <br /> CONTACT PERSON: � F' MOBILE/PAGER: <br /> MAILING ADDRESS: 70 ao c�g 1 k4 r S f CITY: 5�1-�ok�5 �Q�,�l� ZIP: S ��, <br /> STATE LICENSE: # �QC -�/7�Ia <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIL ING ADDRESS: CITY: ZIP: <br /> NA1�1E: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �� (-'�o-� <br /> STORIES: � SQ. FEET OF EACH FLOOR: �a G�� <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 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'SSIGNATURE: `�'��. ' DATE: ���1� �'��'�/ <br /> �� __ <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 />