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Total Fee: $ � 3 p /. /8 Date Received: r8' <br /> Entered By: ,cam Permit#: A6a 9146 <br /> CITY OF ORONO - BU LDI�i tG 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 ONTRACTOR <br /> JOB SITE ADDRESS: //D67 1� j_s/eydri/ Al ZIP: <br /> NAME OF OWNER: . 1-/A/JJ4. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: home) <br /> (wored/$ // PHONE: 6/2-9X5 <br /> CONTACT PERSON: ,,Qea'Y �'7' MOBILE/PAGER: .`9/- 3702. <br /> MAILING ADDRESS: /d3so (a/4 /iecuW 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): /A.t. Avt <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 accordance with the approved plan. �1 <br /> / <br /> APPLICANT'S SIGNATURE: : -!��- DATE: dr <br /> NOTE! Parade of Homes events require separ' e permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />