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Total Fee: $ 3 ff ,f. 93 Date Received: <br /> Entered By: r Permit#: 1"7z/ <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: �-�{�J r-}-ate ked ZIP: S5 <br /> NAME OF OWNER: �o Q�;u� PHONE: (home) <br /> (work) -S-9 9-3Sc 40(-4- <br /> MAILING <br /> zMAILING ADDRESS:-X15 lk—A(AA A 0 CITY: ZIP: SS 35- <br /> (O <br /> CONTRACTOR: Qrx �,� Spr PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: sr a � ,:, CITY: ©od� ZIP: Ja l <br /> STATE LICENSE: # c4f,,j U00 <br /> ARCHITECTIENGINEER: 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): �� o.._ /,4 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ r �, (ro• D <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=approvedAPPLICANT'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 /> 5 <br />