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Total Fee: $ °n-: Date Received: <br /> Entered By: n,J Permit#: T53 / <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: 3,505 <br /> n jL, OZo� <br /> NAME OF OWNER: A nnic.f. TraLkr no n PHONE: (home) ,5-J]02- <br /> r-- f) (work) <br /> MAILING ADDRESS: q& ®11 k&U-9 CITY:Lom zlp:s L <br /> CONTRACTOR: : q3 L 9444 <br /> CONTACT PERSON: rtAe e MOBIL /P G fQ(p- <br /> MAILING ADDRESS: 24 t$ `�Io�c C� 4 CITY. rr r ZIP: SS <br /> STATE LICENSE: # 2-oo i,':->cop 8 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; GISTRATION# <br /> TYPE OF WORK: New vl,_� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Up C pde. Sko�k('woes <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 b.�— <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 SIGNA - 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 />