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Total Fee: $ / Date Received: <br /> Entered By: L-2n /h-lk- _ Permit#: tr-"q-7 a- <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: tlz7 U 7"on I&cJzv ZIP: -S�5 <br /> 1,52- <br /> NAME OF OWNER: d �j Q e v 4'1 Py- PHONE: (home)(- Y 77---791-3— <br /> (work) <br /> 9JS(work) <br /> MAILING ADDRESS: 1<4L � CITY: cllyoy ZIP: 6 <br /> CONTRACTOR: ! �A-k C , T G PHONE: 7 <br /> CONTACT PERSON: r,),7 Jt- giG�I�fZ_ M BILE/PAGER: _ <br /> MAILING ADDRESS: ,2 ,00 CCt CITY: (I"K,-� ZIP: <br /> STATE LICENSE: # 020 !-7 S 39 y <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): ./j�Cc,/ Hclto 6 <br /> STORIES: _� SQ. FEET OF EACH FLOOR: `'/O cY�' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 7 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 30V4 000 <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 /> 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 /> 9 <br />