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Total Fee: $ Date Received: <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /06 5 OJd kora L=k- l%cl ZIP: '5 5 8c-1 <br /> I <br /> NAME OF OWNER: DOA A L .j , ?-:6-rAd PHONE: (home) yl' 19Q <br /> ed (work) 99'a? 7 .9I3 <br /> MAILING ADDRESS: /4:5 6 kon q l.A e..CITY: 6/`p(\a ZIP: S 5 S1 l <br /> CONTRACTOR: siY,A MOS X 1�1',of`S PHONE: 399 .010 <br /> CONTACT PERSON: bQv.d Q('o&i r MOBILE/PAGER: 5 l 6 563 a <br /> MAILING ADDRESS: 090?j 1,6',r;'rct.c5T CITY: IY) 17 ZIP: C5c,//1 <br /> STATE LICENSE: #o'16?5 6/of S 5 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x Land Alteration <br /> PROPOSED WORK(describe in detail): ` <br /> STORIES: 19 ) SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I , S- <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 conform.. ce with the ordinances and codes of the City and with <br /> the State Building Code; that I underst. • this is not a pe • and work is not to start without a <br /> permit; and that the work will be in . c,rda 'e w' erit roved plan. <br /> APPLICANT'S SIGNATURE: ,,/I <br /> DATE: 1- <br /> NOTE! <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 />