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C�`p /) <br /> Total Fee: $5D . �-3 Date Received: 0 <br /> `P' <br /> Entered By: /}'� � J 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) OWN-E-Z0R CONTRACTOR <br /> JOB SITE ADDRESS: Mo ZIP: 3,6 <br /> NAME OF OWNER: 10e.'ckt_ PHONE: (home) `I22 Urt- - 37 <br /> _ (work) E!� fS9 gni/ <br /> MAILING ADDRESS: /,LO �r <br /> CITY: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: 6/,2, 03 5r/ !f�)// <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:—q,/c� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> /pPROPOSED WORK(describe in detail): <br /> /� �.���. EI�CTfiC'C.0 0.� �Aia� ✓iG//'1/[f (Yf]6Y �P. G.n/l SShPP���[' <br /> STORIES: G, �„f� SQ. FEET OF EACH FLOOR: !:2-- <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���� <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! Pae of Homesevents 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 />