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Total Fee: $ �, aC17•�� Date Received: <br /> - ' � Entered By: Permit#: /�Q�d <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 O CONTRACTO <br /> JOB SITE ADDRESS: Z oOr'1 S...q at�.�o mo a?► p 2._ Z�: <br /> NAME OF OWNER: o�. � ��ti Y �C�((etiw PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 2 od'{ S v.Cr At(n�vaA A CITY: �Q� ZIP: <br /> CONTRACTOR: q. ,% L� �' c io�- PHONE: � yy5'7 64�6 <br /> CONTACT PERSON: /��c,�{ �1 S pt,�, MOBILE/PAGER: $t,(-oo�j �$O�37� <br /> MAILING ADDRESS:S'�// �wc,w«,�. �-i CITY: C�A�.��• ZIP: 5�3� <br /> STATE LICENSE: # 3�r5q <br /> ARCHITECT/ENGINEER: �b N n.iow �+- Rs so�. PHONE: (Q 3 V -Z�Z7 <br /> MAILING ADDRESS: 7 9Y 3 ir.b �9c,� �'Ur..� CITY: /Ir� �3, �� ZIP: SS��'�- <br /> NAME: T�.. Jol�,.�scn� REGISTRATIO # <br /> TYPE OF WORK: New •---- Addition Accessory Structure �-- <br /> Move Remodel/Alteration_� Land Alteration � <br /> PROPOSED WORK(describe in detain: �jw�skl /3���-cw%� aA�-/3�� <br /> STORIES: o SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: o GARAGE STALLS: ATT. O DET�_ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 80, �O <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 pemut 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: SG�` DATE: /l��I"f� <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 />