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Total Fee: $ O R'7--7 3 Date Received: <br /> Entered By: .,�/j 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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3 5 Z-y �A-Vc�c �o w �a 1�,o Al 44 ZIP: S 3 S (o <br /> NAME OF OWNER: Coe tF�, o o A. e PHONE: (home) `{TS' 3 9 Z z <br /> (work) <br /> MAILING ADDRESS: 3 S Zo CITY: ZIP: SS-3 5 b <br /> CONTRACTOR: CkO Cause .cN� PHONE: 8 z o 3 <br /> CONTACT PERSON: ,J i c-� a OBIL AGER: -► $ q, s <br /> MAILING ADDRESS: ZIP: s'S s z 4, <br /> STATE LICENSE: # It) <br /> ARCHITECT/ENGINEER: r� I ,(� 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): s mois ck c-� 0, N o 1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> da <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 S, o o 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: V'A L A 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 /> 5 <br />