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T;tal Fee: $ Date Received: <br /> Entered By: Permit#: A o 40� <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 R CONTRACTOR <br /> JOB SITE ADDRESS: LY-T5-- <br /> 3 f)c-,, Zip: �53� <br /> NAME OF OWNER: ,h , PHONE: (home) ,5 -y��'�3 <br /> (work) 7r0; --16'-/- `7 Y <br /> MAILING ADDRESS: y 753 --51-,:�-e 0F, CITY: ZIP: S'S3G�/ <br /> CONTRACTOR: 01 PHONE: <br /> CONTACT PERSON: itiIOBILE/PAGER: <br /> MAILING ADDRESS: -:�e7- CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECTIENGLNTEER: n PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF NVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): 1`e - - _ \ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT-. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding lad): S �n � �� <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 Buildin- 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 /> APPLICANTT'S SIGNATURE: DATE: <br /> NOTE! Parade of Homes events require separate pgr*it approval by Police Depgrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />