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.,O. <br /> Total Fee: $ Date Received: <br /> Entered By: ,G/,. Permit#: 911AAF <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: Wa4ey-f o Lo 9,�, ZIP: <br /> NAME OF OWNER: o1n 4,S v za H H e J a c IL PHONE: (home) 447!5-Z7--3/ <br /> (work) y-7 3 - 7 csrtz:> <br /> MAILING ADDRESS: Z432-3 Mc, Ke,1 z,'c CITY: M K--f kq ZIP: <br /> CONTRACTOR: R ati+ KSI L 3 y'•1 d ,.�„ C�„-p. PHONE: 4-73- o-3>716 <br /> CONTACT PERSON: 7;?,,u w MOBILE/PAGER: ✓o 'cam ct g e r 6447- ?4439, <br /> MAILING ADDRESS: P 0, ao x (�zj:z, U 9a y zata CITY: ZIP: �S 39/ <br /> STATE LICENSE: # nCp p 54-7$ a4- <br /> ARCHITECT/ENGINEER: S AM C- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: w n Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .?i`f 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 inacco danc ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z-9 7 <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 />