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1 <br /> cT6t21 Pee: $ 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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR. <br /> JOB SITE ADDRESS: ys/S Aj P MORE -DR ZIP: 5 51 3 6 � <br /> NAME OF OWNER: A0 L l) A L&Ec H T PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 45AA4 CITY: ORO& _ZIP: 6 <br /> CONTRACTOR: -oNtC-/AtPkj YEAaZ T S6cl A Lr PHONE: 117 a--q o? <br /> CONTACT PERSON: R L�,'p,�ug4jt MOBILE/PAGER: �,�1 -Y 7 3 <br /> MAILING ADDRESS: 6760 tuo obEb Egt) CITY:A1ML x—T-A1,3rA ZIP: <br /> STATE LICENSE: # go 1 36 7& - <br /> ARCHITECTlENGINEER: 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`YORK(describe in detail): /Q6- —k O d <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2,1-6 <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: DATE: <br /> NOTE! Parade Qf 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 />