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Total Fee: $�a�� 13, y 4o Date Received: <br /> Entered By: Permit#: /j/5t <br /> i <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRA TO <br /> JOB SITE ADDRESS: 40 / �'v f�`��`' ��4'' / ZIP: 3 S(. <br /> � / Lf7j <br /> f- % 19e�/y t, f L iP&ONE: (home)NAME OF OWNER: � � A ) <br /> (work) <br /> MAILING ADDRESS: 5 31z-f C--r- CITY: c' ZIP: <br /> CONTRACTOR: p' T Dry �g 'r LLC_ PHONE: '4 7 S- 1 <br /> CONTACT PERSON: MOBILE/PAGER: 7 I 3 <br /> MAILING ADDRESS: 5-7S CITY: ZIP: S-5, 3 sly <br /> STATE LICENSE: # S65 S Co <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): NCW (0'.$l- <br /> STORIES: SQ. FEET OF EACH FLOOR: )- " o /!t- <br /> NO. OF BEDROOMS: 4- GARAGE STALLS: ATT. ✓SET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ':�L C0 0 � <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 acco1rdvc 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 />