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Total Fee: $ J `t0 ' 5 Date Received: <br /> Entered By: T—�' i7 Permit#: d g? <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 ONTRACTO / <br /> JOB SITE ADDRESS: TrJN�'�'�q 4040 ZIP: 5-573554 <br /> NAME OF OWNER: PHONE: (home)9_<Z.2--�7/-0177 <br /> 4 70�✓ � (work) 95-2- RJO- 83/o <br /> MAILING ADDRESS: G� CITY: 0/b-,'° ZIP: SSSS,( <br /> CONTRACTOR: �� �o�( + SP/� PHONE: 7G3-S�-Z gOc�p <br /> CONTACT PERSON: 60--j MOBILE/PAGER: 763 -300 °01-5 <br /> MAILING ADDRESS: P'05 CITY: j 7a"1-7rAl ZIP: 5`1 <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New �X _ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): -��~�r''�'"'J �� " L�r/i� Ll 0 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ;�9,OCD• Qb <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 accordan ith the approved plan. <br /> APPLICANT'S SIGNATURE• DATE: 6�-J'-OZ <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 />