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Total Fee: $ A , a-JDate Received: <br /> Entered By: Permit#: q(p -DI- <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: (�9 6-70 WA zip: <br /> NAME OF OWNER: en k S c,,ers PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: a2��� &aa-�./'�o,�,�../4CITY: p r o ZIP: 5-5-3 s� <br /> CONTRACTOR: moi` t�1' 2 21�aod�il�v' PHONE: 6rl <br /> CONTACT PERSON: , 12 M BILE/PAGER: 6/,-.-6 <br /> MAILING ADDRESS: '7 0,o ►3,4- 1 A-,c, :. et CITY:C6/,cry a h ZIP: SS-3 4/o <br /> STATE LICENSE: # 0 5'- 7 D <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ C Land Alteration <br /> PROPOSED WORK(describe in detail)& ;; — P—o,-P ye vc�e lug, u c Plvo kH" <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ e9 c,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 with the approved plan. <br /> APPLICANT'S SIGNATURE 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 />