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Total Fee: $ �at �. �� Date Received: <br /> Entered By: 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ? � f `" )�&, ZIP: <br /> NAME OF OWNER: a + s S C o -r ��<� iµc PHONE: home) t4 4 FgZA l <br /> (work) ����a� <br /> MAILING ADDRESS: 1905 �9h c� Q CITY: o d Guru h ZIP: 7 <br /> CONTRACTOR: / r%S CdS r C. PHONE: <br /> CONTACT PERSON: 7` MOBILE/PAGER: <br /> MAILING ADDRESS: 1110 :S-n I �� CITY: o r C v la h ZIP: <br /> STATE LICENSE: # lv S3 <br /> ARCHITECT/ENGINEER: I�i a n �a h h w ��5 w PHONE: l 4 '7g z4O <br /> MAILING AD RESS: �p tV CITY: Cz,h pss =-7 ZIP: 3 17 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Cp n S r�c / y -e <br /> STORIES: SQ. FEET OF EACH FLOOR: �-�- `1O— /0 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �- <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 a . dance with t e approved plan. <br /> APPLICANT'S SIGNATURE: G�'11 J +-�� 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 /> 9 <br />