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Total Fee: $ - Date Received: <br /> Entered By: r Permit#: g5-73 <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: '4-�),s O-CD 042c/4,/&V/2<40 ZIP: <br /> 1J DYA E-r A <br /> NAME OF OWNER: M�� ( ` PHONE: (home) l (Z- <br /> (work) Z-(work) <br /> MAILING ADDRESS: t6s-oL0CkVS-kt,( CITY: ZIP: SJ 3550 <br /> CONTRACTOR: e '',�x� PHONE: /9 ;z <br /> CONTACT PERSON: A- MOBILE/PAGER: (p($ S7+ <br /> MAILING ADDRESS: !�2����P2(tS r CITY: OP-c)*4p ZIP: <br /> STATE LICENSE: # f <br /> ARCHITECT/ENGINEER: oNE_ 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): rnC,P F o-a 2, ` <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 acco dance wi the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> NOTE! Parade of Homes events require separ rmit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />