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Total Fee: $ qq.C30 Date Received: <br /> Entered By: Permit#: Via, <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Q560 of ,$cam, g / zv: s 53 :i <br /> NAME OF OWNER: -T ` ✓�' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 0A—"gdL) CITY:p-ok%o ZIP: 553 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 0ILE/PAGER: <br /> MAILING ADDRESS: CITY: La ZIP: �S'�o <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): J�0 c� <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 accordaigice with approved plan. <br /> APPLICANT'S SIGNATURE: DATE: —� <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 />