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Total Fee: $ Date Received: <br /> Entered By: 44 Permit#: /6` l <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review «•ill be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: G6 S,S luc5RTl� 6l Re jjl{ZIP: <br /> NAME OF OWNER: 6cl �-13W l YZ-z' PHONE: (home)_' 5 573 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: WIt Te 73 Ul L PHONE: 3 `x'573 <br /> CONTACT PERSON: C'3& D MOBILE/PAGER: ?C12- — 5-57Z- <br /> MAILING <br /> -57ZMAILING ADDRESS: S 5- ',Y7 (,��„�/�4e 'Y: /1 TAT ZIP: —3�5' <br /> STATE LICENSE: # ?Z <br /> ARCHITECTIENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PRKO OSED WORK (describe in tai 111Aeckr CL4 ICtG� �D <br /> -- 5 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED 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 with the approved plan. <br /> APPLICANT'S SIGNATURE: d�� DATE: //—j Z �7, <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 /> 5 <br />