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lk <br /> 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) WNE R CONTRACTOR <br /> JOB SITE ADDRESS: 1/70 44/917 ZSR a64-/k- ZIP: �15"3 9/ <br /> NAME OF OWNER: ,eea gy /e) PHONE: (home) V 26 -f21/3 <br /> (work) 76 /37 3 <br /> MAILING ADDRESS: '7O fit/, 24 cy 8/i!/'CITY: 1.4-4.�2-rih ZIP: <br /> CONTRACTOR: F 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 Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): e)7/-i rs e c',�i S �h� yh q� t y/l1-- <br /> 'f t'f,>Y . (/(Ydi uhf d c 4 -e ) <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. <br /> ' <br /> APPLICANT'S SIGNATURE:/' � DATE: /-- / - 7 7 <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 /> 5 <br />