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1 � <br /> Total Fee: $ �a.?.p3 Date Received: �!/,ZB/oo <br /> Entered By: ��1, Permit#: � (',� �Q/ <br /> CITY OF ORONO - SUILDING 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 O CONTRACTOR � <br /> JOB SITE ADDRESS: �f c-' � . ��Jf3.�j i�.��-1 '!�� ZIP: ,S 5 3��f <br /> NAME OF OWNER: l.e)����,� p�N:J PHONE: (home) `��1,3 - �3 l dZ <br /> (work) <br /> MAILING ADDRESS: �fo S • 5•;�,�s g#�`/ CITY:/a'�/�G� p�...F};ti ZIP: �7 3 7� <br /> R� <br /> CONTRACTOR: RL.�ix a �'- �-m� o'�" PHONE: `f�l—Q y�� :3 <br /> CONTACTPERSON: S'�wi'rL MOBILE/PAGER: 3� b•- 5�.s y <br /> MAILING ADDRESS: !��5 G�f��f PL- CITY: /�'lo.;�-� ZIP: ����: � <br /> STATE LICENSE: # �5'Z � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition 7� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ��� R� 5rt-o7' / v 6�-��C_� <br /> STORIES: i SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ /,7 t��, ��' <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: �.���.s— �� DATE: `r Z � �v <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 />