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Total Fee: $ Date Received: 127-DL-00 <br /> Entered By: Permit#: (-gyp a,17 to <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 /> ----------------------------------------------------------- --------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNER CONTRACTOR <br /> JOB SITE ADDRESS: ib t9- 1 a-ri.yr 6 4-5. K ZIP: S 5 3SZ� <br /> s <br /> NAME OF OWNER: 2A""HONE: (home) y 7 3 ` 25512 <br /> (work) <br /> MAILING ADDRESS: P(45 k 01NG( �)2CITY: ('�p1J p ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: C k�> Q r 5T"1,j c_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New t- Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): S 4' A'rr5k-01 t�-k 0 ' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. a, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ U A0 <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 wi the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: B - a -d Q:) <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 />