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R <br /> Total Fee: $ 3o, 23 Date Received:( off - o'? <br /> Entered By: Permit #: (� <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, R CONTRACTOR <br /> JOB SITE ADDRESS: -�20j ZIP: <br /> NAME OF OWNER: &,4 gLVS AC PHONE: (home) sc- -, u -osa O <br /> (work) 2(v_3-!2,7j-:?Q-7 <br /> MAILING ADDRESS: o?aS 711nina CITY: ZIP: 5S3,51, <br /> CONTRACTOR: )(CtZ Sj ok mess 2nl C PHONE: f-t�oo-Sy7-V-9 9 o <br /> CONTACT PERSON: ,,, ,4,j un e// MOBILE/PAGER: 300-5-87- yCfy O <br /> MAILING ADDRESS: /.3„75- f�wN 7 W� CITY: {zh;��„ ZIP: 5535b <br /> STATE LICENSE: # M <br /> ARCHITECT/ENGINEER: AIZ4 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): <br /> STORIES: / SQ.FEET OF EACH FLOOR: ISLI J AOuse 241 A�rag e <br /> NO. OF BEDROOMS: -3 GARAGE STALLS: ATT.c;?%S_ DET. f� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �j, QQ 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 /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> FK <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 /> 9 <br />