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Total Fee: $ jcj 3 Date Received: <br /> Entered By: ,e,14_ Permit#: <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 0i��RACTOR -- <br /> JOB SITE ADDRESS: 1 / d o 76 1, 4g wg ZIP: <br /> NAME OF OWNER: �a C, �. jJo K�I PHONE: (home) y ) 17 <br /> _ (work) <br /> MAILING ADDRESS: //A �� ,��, w�� �� CITY: ZIP: 3 S <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: ` MOBILE/PAGER: �l0 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # d b(o <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): �4 1 l�✓?1�/J^' <br /> Ap-L,10-77 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z,,�, j7zo <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: /c� v <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 />