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Total kee: $ Date Received: �.-, '�� <br /> Entered By: / Permit #: ,'0 3 9,1�5 <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 CONTRA �9R- <br /> JOB SITE ADDRESS: 3Z O ? a ��`� P- 0 ZIP: <br /> NAME OF OWNER: Q uT G H Zd--b r-5 K Y PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: O A ZIP: <br /> CONTRACTOR: S Tom e y-a,4,5 F l YG • PHONE: 951- -y7 3 -.2-2-2- <br /> CONTACT <br /> CONTACT PERSON: MOBILE/PAGER: 3 y fj <br /> MAILING ADDRESS: If1G EP S'T /Z lc F CITY: tk-&y5i^T,4 ZIP: 553 9/ <br /> STATE LICENSE: 6 <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): !V�-''`� Da�,h�sZ j'✓AS T��. Sw/TC— <br /> R,FI-oG-E <br /> STORIES: Z' SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. AP DET. L <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /30 G� <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: <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 />