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Total Fee: $ A Date Received: efA9/4 7 <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) 1;;;;;17)tR CONTRACTOR <br /> JOB SITE ADDRESS: S Z> 0-4-41^.c. vel ` c Aek. (2A ZIP: 5 .S% <br /> NAME OF OWNER: � -e s PHONE: (home) `'xi(3-g <br /> (work) S� <br /> MAILING ADDRESS: S ro-14- CITY: �o (L. t,� ZIP: c <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New C:klition Olt& Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $2...600 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in 6 1: 11;.• with the ordinances and codes of the City and with <br /> the State Building Code; that I un i ers .nd this is n$ • .ermit and work is not to start without a <br /> permit; and that the work will be cordance with the .proved plan. <br /> APPLICANT'S SIGNATURE: DATE: S-6 O^6 <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 />