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Total Fee: $ 17 D ate Received: )0 (v q-77 <br /> Entered By: Permit#: _(�T/Abe 0 <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: l wwxi l ,-, ZIP: <br /> AW, - 1) <br /> y <br /> NAME OF OWNER: PHONE: (home) <br /> _ (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��t�C` '� S PHONE: <br /> 3,2a-��3-z3.�� <br /> CONTACT PERSON: Q eon t- 1,t1 c L' MOBILE/PAGER: - - 0670 <br /> MAILINGADDRESS: o rbox �� CITY: lcc ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: M i�Lc Y V i`� ��),(t S PHONE: / 2 - 723 - 7/ 3 7 <br /> MAILINGADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New V Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1); j�c�`5 1� �lC�1 � ')y V e <br /> STORIES: g SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): 160-0 <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 accordance wf ith e approved plan. <br /> APPLICANT'S SIGNATURE: W DATE: T� <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 />