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Total Fee: $ f 0>' /D Date Received: q--) <br /> Entered By: adv Permit#: /71// <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 /> THE APPLICANT IS: (circle one) NER RR CONTRACTOR <br /> JOB SITE ADDRESS: yev A)at,�g 6,biet ZIP: <br /> NAME OF OWNER: D666P/1)00a1, PHONE: (home),/ _'/79- / TD <br /> (work) 65"/- <br /> MAILING ADDRESS: 544,1E , 0, <br /> CITY: ZIP:' <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ,K Land Alteration <br /> PROPOSED WORK(describe in!detail): i <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ J 2,? 00 <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: � r /,� , � DATE: <br /> i <br /> NOTE! Parade of Homes events require separate pe - it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />