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A <br /> 'Total Fee: $ (�� Date Received: - - 17 <br /> Entered By: Permit#: ►' Qa9 <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: 5�17-s- Ne,#e 7W 6/� 725; AD ZIP: <br /> NAME OF OWNER: .ljjQ�,ag� �. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �2,0 ` 4 ITY: ZIP: <br /> CONTRACTOR: hwyv (0,wl, PHONE: �5-416 Ila <br /> CONTACT PERSON: BILE/PAG R: <br /> MAILING ADDRESS:/ S' a CITY: IP: � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEERC' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition X Accessory Structure <br /> Move Remodel/Alteration-->C Land Alteration <br /> OPO ED WORK(describe in detaiFI-y-OL9 6! C v-/,y vjdpv <br /> r _ O. <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 ' da it e approved plan. <br /> r Ped <br /> APPLICANT'S SIGNATURE: ` 1 DATE: /- vZ <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 /> 5 <br />