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Total Fee: $ 5-1Date Received: <br /> Entered By: 11� Permit#: A� &�t 5-7 <br /> T-` <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: U �/�/� �/�u/K ZIP: � 5 3 34�5 <br /> NAME OF OWNER: /(� C r�/� �l- `'Gym PHONE: (home)6/-�- y7 3 __2_y/-f <br /> (work) <br /> MAILING ADDRESS: �2f O 7&- 1zeA /,4glh�j- CITY:Zow6 4A&,z ZIP: 5-S3 3 jo' <br /> CONTRACTOR: Alii A/ C/7 y *y6 r, 7'V,-f ST PHONE: 3 a 6 <br /> CONTACT PERSON: A,?-o gAAw& S' MOBILE/PAGER: 6 <br /> MAILING ADDRESS: r,3 ot> T4r/4//t A S T CITY: 5,- </,'ZIP: <br /> STATE LICENSE: # g��v�/r2 S� L�i'c�c Co,Z,trq���� - 1'i 10'0k&c.S ss a r 4 tr, <br /> C rc yY-�•�. c.<yrt <br /> ARCHITECTIENGINEER: PHONE. <br /> MAILING DRESS: CITY: ZIP: <br /> NAME: S <br /> in/ REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure }� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in,,detail): o� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,/� <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: s��y� DATE: �^ <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 />