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'Total—Fee: $_ -j/- i. V C- Date Received: i/.lc <br /> Entered By: 'i'l, Permit#: 79 <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: -)00 N 92ACAJA ZIP: <br /> NAME OF OWNER: PHONE: (home) S <br /> (work) <br /> MAILING ADDRESS: ,5-t?9 T0iQV-AvJ,4 CITY: ,�)F CQL)P> ZIP: <br /> + ' GD�UGG��C <br /> CONTRACTOR: 6 NO 1 C.� Vv O COMPHONE: <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: �- CITY: '5-1. jj2f2 7 5 ZIP: <br /> STATE LICENSE: # ��A <br /> ARCHITECT/ENGINEER: i Az_ Ao i2�2 PHONE: <br /> MAILING ADDRESS: W, y3KQ fa- CITY: 1411yAA!-=i ZIP: O <br /> NAME:— '��rr-! S6242 REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure _ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1*,",H WC,/W,-, <br /> C 7J <br /> STORIES: j SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: ) GARAGE STALLS: ATT. _tZ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .5 �5-d, oo 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 ordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: 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 />