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Total Fee: S 31c< 0 q Date Received: /�6 <br /> Date Approved: <br /> Entered By: ty) Permit#: 76 7e <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> ------------------------------------------------------------------------- ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: \ a ZIP: C;2�� s� <br /> NAIME OF OWNER: C � �0. KV1.1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: c�\A--CITY: ZIP:, <br /> CONTRACTOR(2,,��— \S PHONE:q 2s <br /> MOBM PHONE/PAGER: <br /> r-- <br /> MAILING ADDRESS:C� CC— �rcc Sac c.CITY: SZIP: <br /> STATE LICENSE: # 52 Z7;3> <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 indetail): K(4 d — �r D t "5�' (AA, w�1�, <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 <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA \ DATE: (C <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 /> I <br />