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Total Fee: $ Date Received: <br /> Entered By: Permit#: g �[p <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: I -L-5 T(Ly N 0 t.A ZIP: rj 5 3 <br /> NAME OF OWNER: r1 5 PHONE: (home) <br /> (work) Ll Z-7--11 q3 <br /> MAILING ADDRESS: 313LA �3 o����e 9w CITY: Coo O 2A p o o s ZIP: 55 4 4-Q <br /> CONTRACTOR: .5 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: S A y-A ft- CITY: ,aog IZ.R lbs ZIP: ,:TG44_b <br /> STATE LICENSE: # 3 1 1"1 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): L y_s k OKz_N T►A 1- L-o N a fflU gZ i Q"rj <br /> STORIES: Z SQ.FEET OF EACH FLOOR: 1 39`k 3 S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 112. <br /> -7 b <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: 1 DATE: 1 Z - 4 - `1 � <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 />