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SG� Te- <br /> Total Fee: $ Cj1 (; .�j�j Date Received: o_3 <br /> Entered By: Permit#: C-_ <br /> s , <br /> CITY OF ORONO - JBiJILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: .3O yS ZIP: <br /> NAME OF OWNER: I?RU 0'a t k-4 i`cy,q y -/,q// PHONE: (home) 9S,2 - Jf�6 -S 9/v <br /> (work) S0-,4 C <br /> MAILING ADDRESS: 3o �1 Tc,-7-c)04/CITY: C>2&A o ZIP: <br /> CONTRACTOR: 7 e,2 V FK, T PHONE: ,49 yS,2- <br /> CONTACT PERSON: o.yr T ,e R MOBILE/PAGER: - <br /> MAILING ADDRESS: 3 ST. CITY: Zo.i s 4 ,V,Fr ZIP: s S 3 SG <br /> STATE LICENSE: # 71;?/S <br /> ARCHITECT/ENGINEER: J' a IVC C CA-*e/ PHONE: <br /> MAILING ADDRESS: CITY: 41 71,-,4 . ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure Tc,1.4e 49ownv <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): _7'E42 pot,)1v :5K i S i� A ,* <br /> (Pc TA,1hbe,P, 6, ,Lcl tilt (.> ifLEI C/zc _2 c Wx <br /> STORIES: SQ. FEET OF EACH FLOOR: 71717 <br /> NO. OF BEDROOMS: C) GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 10 <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,ace with the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: <br /> NOTE! Parade of Homes events require tt approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />