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Total Fee: $ <br /> )9� /- Date Received: <br /> Entered By: .c. 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 /> ---------------------------------------------------------- --------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRnACTOR <br /> JOB SITE ADDRESS: 76 O �-Z ; R ZIP: <br /> NAME OF OWNER: 5 7_ec, PHONE: (home) <br /> (work) g$fS-3% S <br /> MAILING ADDRESS:/D6 3�1 B (',cam CITY: ��. o, ��t ZIP: - -Y 31r <br /> CONTRACTOR: PHONE: g 8Y-3 IV/5- <br /> CONTACT <br /> V/CONTACT PERSON: MOBILE/ GE . &,?d -5YY9 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: #c?0 0 7.7'/3 7 <br /> ARCHITECT/ENGINEER:kA" �l--/)- PHONE: g 35 - Sg 70 <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PR ED WORK(describe in detail): Z4-uv C) , <br /> STORIES: SQ. FEET OF EACH FLOOR: 5, /5 v7�•` <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT._3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $-21 Vo 0 O C) <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. q <br /> APPLICANT'S SIGNATURE, % C DATE: 1l "94 <br /> NOTE! Parade 12f 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 /> 9 <br />