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Total Fee: $ / ` ' Date Received: 10 a3)Ol <br /> Entered By: 1;',/ j Permit#: 5 31 <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: /�o�� �f� l� G�'/�/. awp,tdIP: 15_� <br /> NAME OF OWNER: A, C. PHONE: (home) '/s Z—`f?Z ?L 3 v <br /> (work) &l2- 9G 3-/q 3�-- <br /> MAILING ADDRESS: y2Gj Oj,#4v cVVJe-4_'0ITY: 0761u,nJ l' ZIP: 5-_5- <br /> 36<1 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHI l ECT/ENGINEER: PHONE: <br /> MAILING 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: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Wl <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. J <br /> APPLICANT'S SIGNAT DATE: lt4, 3�/ <br /> NOTE! Parade o-'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 />