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A. <br /> Total Fee: $ Date Received: -71-301 <br /> Entered By: .Th Permit#: PI` <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) NER CONTRACTOR <br /> JOB SITE ADDRESS: � j (00 /�r,���} 2 N 8 t1� ZIP: Q <br /> NAME OF OWNER: :Sy�A r\ PHONE: (home) LI-2 1 71 <br /> J E '(work) (C ---/ <br /> MAILING ADDRESS: 3-)(pO /U pi2ME;2 k6ITY: 61)R y zqA ZIP: "5�W <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/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): N�'S�G1� A00A00E MO U N d PC,01 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I,t occ <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. G <br /> APPLICANT`S SIGNATURE: aU,6�-DATE: 7 J� <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 /> 6 <br />