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Total Fee: $ 3y �U Date Received: �-- <br /> Entered By: 4/411�1 Permit#: �S— <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 ONTRA�CT�OF <br /> JOB SITE ADDRESS: 110 �1(n � d ZEN <br /> (� C:757 �r�i 7 yo3 <br /> NAME OF OWNER: 'T,r + 5 f U e� PHONE: (home) <br /> (work) hl7_ -- P8 , y67 <br /> MAILING ADDRESS: f 16 b-Td w 4 CITY:Of o r\• ZIP: 3 5 6 <br /> CONTRACTOR: PHONE: -16 3- 6 9Z-,,56 6 6 <br /> CONTACT PERSON:-Wan 60-r ry MOBILE/PAGER:6/) 6,-1 Z 4 2 ? <br /> MAILING ADDRESS: 2_( L�nn J� Sw CITY: J �- a(l ZIP: 5�,<3-f <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �c Land Alteration <br /> PROPOSED WORK(describe in detail): e- o-F-F c?ncf . f Q -6 D <br /> rqeA;jm Li-f CI-AJ y- -T k4 kPS <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / .Z r 50 0. v o <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 at 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 />