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1 � ' <br /> Total Fee: $ Date Received: 03 <br /> Entered By: _� k/) Permit#: 0671 <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 360j' T-t)C 0R.6 ZIP: SS 3 I I <br /> NAME OF OWNER: -m6M 9N`4dEK PHONE: (home) 9SZ-Y71-7g13 <br /> (work) <br /> MAILING ADDRESS: -3601 T-D Gb 26 CITY: (,LAfzpTa ZIP: 3 <br /> CONq'RACTOR: O(a N&R- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> 1VIAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHTTECT/ENGINEER: OWN EIVL- PHONE: <br /> MAIMING ADDRESS: CITY: ZIP: <br /> NA_-NIE: REGISTRATION# <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): T1415 WILL gE A MoNo?1rc.H MFrAL,RcwF oyEkt-7AE <br /> rxoN y 00o1- <br /> STORIES: 2 '/i- SQ. FEET OF EACH FLOOR: 160 , g60, J2.9 <br /> NO. OF BEDROOMS: - GARAGE STALLS: ATT. t DET. <br /> ESTBIA.TED CONSTRUCTION VALUATION (excluding land): $ ( Z 8-00 <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 wiII be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: y•11.0.3 <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 />