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TotaLFee: $ Date Received: <br /> �Ente�ed By: Permit#: <br /> CITY OF ORONO - BUII.DING PERNIIT 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 NTRACTOR <br /> JOB SITE ADDRESS: � `t�a �C(``L �R► �R� Zip: <br /> NAME OF OWNER: � �c��...I PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �1�V`� W�aC C-O PHONE: 7�3�7-- ��t- <br /> CONTACT PERSON: �c� .��.�� MOBILE/PAGER: 7�3�a-�lp—p S t� <br /> MAILING ADDRESS:PO 4p3 CITY: �;1�1� �Q' ZIP: �`3Z lQ <br /> STATE LICENSE: # c��p I�a.�oQ,`1 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1�IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> .--. <br /> PROPOSED WORK(describe in detain: ___ ��-�crp� f�� <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 /> pemut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: � c�4' O� <br /> NOTE! Parade of Flomes events ire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />