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Total Fee: $ Date Received: Q-/7�.�OOa <br /> Entered By: Q��YK� Permit#: �0510��_ <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> TAE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �S �� S ��,//�� L ZIP: <br /> NAME OF OWNER(�� �+ ( � v, S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> ��� <br /> CONTRACTOR: V V, �• �i �%a7v5 . PHONE: cl��'�701� /� <br /> CONTACT PERSON: '[3�p MOBILE/PAGER: c,i d- -8 6'? -3 �I 7 <br /> MAILING ADDRESS: 5�7 S- Ly/uweo� I�L�m CITY: /vl o�.....r> ZIP: SS�`� <br /> STATE LICENSE: # ��a c� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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:�,q,.� �-� �1- �-S1� N F (,,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ 3 i�� � � <br /> I hereby apply for a building permit and I aclrnowledge 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 accord e with the approved plan. <br /> APPLICANT'S SIGNATURE. DATE: 1 � ( � �� a <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />