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Total Fee: $ , (o _ Date Received: <br /> Entered By: Permit#: 95 Co <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: y o /c/ ZIP: -5-3-3 7/ <br /> NAME OF OWNER: Geo Y 5,e S s r-6 PHONE: (home) 1-171- 9S Ss" <br /> _ (work) <br /> MAILING ADDRESS: 37,� o /o 15 a 2c/ CITY: 1x1/,4 Y7 Ty ZEN SS3 9 I <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILEMAGER: <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 Accessory Structure <br /> Move Remodel/Alteration ri' Land Alteration <br /> PROPOSED WORK(describe in detail): Zoo f <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ fo 0 <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 /> it permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE. DATE: S—/719 7 <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 />