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J <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO I DING 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 PR CONTRACTOR <br /> -53 <br /> JOB SITE ADDRESS: .(O`T o ZIP: 5 <br /> NAME OF OWNER: ( G��(,tA C l(=4111(/t/d—, PHONE: (home) l7 - 7 7 <br /> (work) 15 - 3 f-77 A <br /> MAILING ADDRESS: �5ct/yk-k— CITY: ZIP: <br /> CONTRACTOR: Jc PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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 in detail): L1�� �Tait" -h°�sy�a l r <br /> (� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Gvi n o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( O <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 i cco anc�e with 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 />