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Total Fee: $ 1 2 ? ' Date Received: �^ <br /> -a/ <br /> Entered By: OW= Permit#: _/2 U c y <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 e) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> ( P��i1 �J/�/�/�P O: (home) <br /> NAME OF OWNER: <br /> (work) <br /> MAILING ADDRESS: /�//��? _� � CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIIdNG ADDRESS: CITY.. 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: .I� GARAGE STALLS: ATT. --6, DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <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: QL DATE: <br /> 716 <br /> NOTE! Parade of Homes events a uire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />