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f <br /> Total Fee: $� DateReceived: /Q " y— 96 II <br /> Date Approved: <br /> Entered By: C/? Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> ----------------------------------------------------------------------- ---------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �� ) ,/� �,.9g Kd�. ZIP: <br /> NAME OF OWNER: q�,ryl i�.Q `e� �rsm PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 122 n 12 ZIP: II <br /> CONTRACTOR: V s c e ll .9 w.IdAri PHONE: IELS-ai4 <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: °� b. c CITY: �1 ZIP: 6r <br /> STATE LICENSE: #-,4-0 n 5f <br /> ARCHITECT/ENGINEER: ! 5�. �'t,S PHONE: <br /> MAILING ADDRESS: l©27;? /-r,�, X At'1- CITY: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): Ly <br /> STORIES: SQ. FEET OF EACH FLOOR: bl0 ,t+tCLI-4 5Z-S! Q f <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. n 0 4C DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be . accorda e with the approved plan. <br /> APPLICANT'S SIGNATUREDATE: <br /> NOTE! Parade of Homes eventsequire 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 />