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Total Fee: $ !/C/,3 A 0.0 Date Receive ,,_/3-03 <br /> Entered By: Permit #: 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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: ? �5 ,� ►h�.� _ ZIP: <br /> NAME OF OWNER:; (v PHONE: (homeR_­5-"a <br /> (work) <br /> MAILING ADDRESS: ZIP;�s <br /> CONTRACTOR: PHONE: I <br /> CONTACT PERSON: MOBILE/PAGER ,6' ,�k-_3'j _ 9 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> AR CHITECT/ENGINEER: w HONE: / <br /> MAILING ADDRESS: TY: , ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): 0 0 , 0 c; <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: 0_V6 DATE: -'S_11 ,1tQ3 <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 /> 9 <br />