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Total Fee: $ Date Received: 'a 7 <br /> Entered By: Permit#: fi Y4 <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 ane) OWNER OR ONTRACTOR�? <br /> JOB SITE ADDRESS: 6'65- Cd if( %R`t'cw-,Aj (9p ZIP: 15-535-6 4-r?Kri <br /> NAME OF OWNER: 1-cJ !J Q;S nrAJ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: "Y4' 5—��y f;A--f AQ CITY: 14,4114k 1641*1y' ZIP: <br /> CONTRACTOR: -&qL4,0A) --Sr--4*u iQr- C�u j r PHONE: 4j-7) --6,-(/,3 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 1*s P< CITY: M 6 sry o ZIP: SS3 Cy <br /> STATE LICENSE: # &,,5-Z3 <br /> ARCHITECT/E,ENGINi EER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ k Land Alteration <br /> PROPOSED WORK(describe in detail): Tgjw? t512-- RO <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 6 -7 R <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 />