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Total Fee: $ . Date Receive 0 4,)41- <br /> Entered By: — _ Permit#: <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: )pori 1 , (�`6S� 01 p Gc � 3t-i Relp. ZIP: !M R-A 46 <br /> NAME OF OWNER: lS Vr1`k4 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: r ,, PHONE: (tl,- 71(, 315-o <br /> CONTACT PERSON: 'kk r� _ MOBILE/PAGER: �L,S-*7 <br /> MAILING ADDRESS: /6?7 l-1vhc ,duC-Aue. CITY: ZIP: !o/ <br /> STATE LICENSE: # (o-2OS^ <br /> ARCHITECT/ENGINEER: rlo,, Q- 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 /> rte . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 30oD . <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: 021LZ,el- DATE: q� <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 />