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f ' <br /> Total Fee: $ `� d,y Date Received: 0 3 <br /> Entered By: F�tLt_., Permit#: 40 <br /> --jam <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: 'a Y�� a �_ �, j ZIP: `5'S 36 <br /> NAME OF OWNER: ',� I o PHONE: (home) <br /> (work) 61,2L)-3-21-1 -,030,,s— <br /> MAILING ADDRESS: 3,2 rn r_soy, Ave S CITY: M�,gljjc,QQ 1,,s ZIP: f� <br /> CONTRACTOR: yP_os;C,'-elCPHONE: <br /> CONTACT PERSON: 4)A, MOBILE/PAGER: <br /> MAILING ADDRESS: 7010 7 CITY: � ;} &,,, ZIP: �s�`z1 <br /> STATE LICENSE: # 3 / <br /> ARCHITECT/ENGINEER: i ,� PHONE: j-, '�c/ <br /> MAILING ADDRESS: CITY: fi, ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration 0( Land Alteration <br /> PROPOSED WORK(describe in detail): �,�,�c, G, r.Aj �,0 ,.k <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1,/ lexyp, <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: <br /> 3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Dep ent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />