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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: 13 Ora tic, C)04ZIP: CS SS- <br /> NAME <br /> SNAME CSF OWNER: C I v -a-kJ vl)1r PHONE: (home) S a c "16 a`a <br /> (work) <br /> MAILING ADDRESS: _- CITY: C1a ZIP:-553 <br /> CONTRACTOR: ewc)ci'Tc+e (= t-0zcc_4' cmc. PHONE: -7(.3 -4( 3-3asy <br /> CONTACT PERSON: D w vE- OB AGER: l. -4/9,% -G o go <br /> MAILING ADDRESS: /(u 7( Cho /arc a/ CITY: drle C -.sic ZIP: S5-1E 9 <br /> STATE LICENSE: # — 03[7t190 <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 e � �� ,door' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 06 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 00 0 <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. <br /> APPLICANT'S SIGNATURE � DATE: 7/7.-- <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 />