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Total Fee: $ Date Received: b � <br /> Entered By: oLt= Permit#: ?� <br /> 4 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 /> a` ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �1'C la",Jj,- S)ta� ZIP: <br /> NAME OF OWNER: � T -4ct - PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: R(l) 9) CITY: Q✓`vkjr�)' ZIP: <br /> CONTRACTOR:, , Q -1c�., PHONE: <br /> CONTACT PERSON: �J,., MOBILE/PAGER: <br /> MAILING ADDRESS: Ae 3Q Ce I p CITY: <br /> STATE LICENSE: # Qnq,) <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: 7/� r� REGISTRATION# <br /> TYPE OF WORK: New Addition i Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail)(: Aj.0 n ^ <br /> GC MGc� lCCitZrt Z- lir- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 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•- - ----DATE: L`3-or3 . <br /> NOTE! Parade of Homes events requir separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />