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` Total Fee: $ �7'"l - q" Date Received: <br /> Entered By: Permit#: (a <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: 1L 76) S7 W�1_-rcks Aer ZIP: <br /> NAME OF OWNER: ?DQ zoo k i�- w/c z- PHONE: (home) 4171-- `f <br /> (work) WA <br /> MAILING ADDRESS: M CITY: 17k6 ti?-) ZIP: r <br /> CONTRACTOR: 7-SPc&ALIS(' PHONE: 7,2- e10? <br /> CONTACT PERSON: .&NA!£V/C L MOBILE/PAGER: Z 2 1 — 3?&> <br /> MAILING ADDRESS: 6ao 1yDD GE CITY:&u& Sr-A ZIP: S,5 Y <br /> STATE LICENSE: # �2p/ 7 60 Z 3 <br /> ARCHITECT/ENGINEER:_ MA4E 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): 02 348s > rQcrA/r <br /> �- 609,A16 WALL 5ois7"S oaf' iPA�rEP H A/I"K,E <br /> STORIES: SQ. FEET OF EACH FLOOR: `A <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 02S,57449 <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: /0/ <br /> NOTE! Parade ofHomes 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 />