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1 <br /> Total Fee: $ T �� Date Received: ( 1,3 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 /> -------------------------------------------------------------------------- z--..�----`---------------------- <br /> THE APPLICANT IS: ('circle one) OWNER 0 CONTRACTOR <br /> J ) <br /> JOB SITE ADDRESS: D D � ,��3-v. A ed. ZIP: <br /> NAME OF OWNER: Uku y /"l,�►^d�.�,,, AIC-)501(l PHONE: (home) q! I— <br /> _z) <br /> (work) <br /> MAILING ADDRESS: f,4-KA c_— CITY: ZIP: <br /> CONTRACTOR: �ftl LC LJoto PHONE: �S2 '12-`l o o ky 5 <br /> CONTACT PERSON: J©,fi (a r u t,4 MOBILE/PAGER: (o I Z 36-6 LS 3 <br /> MAILING ADDRESS: 3 3 a o bc,"t,4," )4✓.5 CITY: St Za.Ts pL ZIP: <br /> STATE LICENSE: # /•s 3 Z <br /> ARCHITECT/ENGINEER: �A ��� `� PHONE: 61 -Z- 3-7t <br /> MAILING ADDRESS: CITY: _yjp/5 ZIP: <br /> NAME: py o I-} k N\s o r,1 REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): S-M rZA-j-jE ruz-vv'. <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 'n aCcordance with t approved plan. <br /> APPLICANT'S SIGNATURE• DATE: l <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 />