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-TL otal Fee: $ 1A O g, -z-9 Date Received: 1105s- <br /> Entered <br /> 105sEntered By: 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 /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: 4 Ze-41,1V 5Ky PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: s'`' ''�` CITY: ZIP: <br /> CONTRACTOR: 5 PHONE: V&0 <br /> CONTACTPERSON: CCS MOBILE/PAGER: &/Z- ^ 2s Z — 3 V 4 g <br /> MAILING ADDRESS: V2-0 el. %-- CITY: two ZIP: I►n/ <br /> STATE LICENSE: # 7-o o 3 ys3 b <br /> ARCHITECT/ENGINEER: S Pa Ncr/?"a PHONE: <br /> MAILING ADDRESS: D"S,;w 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): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �0" 0 o v <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: L�=� 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 /> 5 <br />