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Total Fee: $ 108. Y 3 Date Received: <br /> Entered By: Permit#: A o aSSz�p <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: ZIP: <br /> NAME OF OWNER: / A,,&AAe) (ZF)/N noC PHONE: (home) y7/ G S;23 <br /> (work) 7/0 7&-'-IV <br /> MAILING ADDRESS: ,3755" loco 12-c-k- CITY: /.dUalt4•9- ZIP: 53C/ <br /> CONTRACTOR: P I C) C-G e n c,(- PHONE: <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 Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): R ep i ernC`c t� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ C7 <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 accorda ce with the a proved plan. <br /> APPLICANT'S SIGNATURE: DATE: 6-1-3-0c) <br /> NOTE! Parade ofHomes eventsuire 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 />