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Total Fee: $ 7- Date Received: <br /> 'Entered By: , Permit#: C/o <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) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 6 01 I o Go ReAD ZIP: 55.3?! / <br /> NAMEOF OWNER: T Fl OM A S SN I(D Ut- PHONE: (home) X111 -741/3 <br /> (work) <br /> MAILING ADDRESS: 3601 To 6 o VRv A 9 CITY: w J% ?A-TA ZIP: S'S'S 91 <br /> CONTRACTOR: o W Aj&.p, PHONE: C/'7 7 If/3 <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 X Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): A D 01 Ti oN OF !3E 0"01AS (4) , D G C k <br /> A"n GA24 GC-: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. I DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /71 b 0 U <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: ke msµ- / DATE: TA 3 97 <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 />