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Total Fee: $ S ' Date Received: <br /> Entered By: CO Permit#: / d �oZ to <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 /> '1liE APPLICANT IS: (circle one) OWNER OIONTRACTOR <br /> JOB SITE ADDRESS: yCJ S c- ��% ✓1 x ZIP: <br /> • NAME OF OWNER:c\4,5 �€- k G � �., y`)iN'HONE: (home) `17 LS 4c) <br /> (work) <br /> MAILING ADDRESS: L4 u< LJeCITY: az) ZIP: <br /> CONTRACTOR:CL t C- PHONE: 9 7 S -3 > SCJ <br /> CONTACT PERSON: A MOBILE/PAGER: - 7 Z -7 <br /> MAILING ADDRESS:5090 L, CITY: ZIP: 6 53 7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: r` JC` PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move • Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): a-Lit' r- <br /> STORIES: SQ. FEET OF EACH FLOOR: fess t c-) <br /> NO. OF BEDROOMS: ?- GARAGE STALLS: ATT. \ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( 00C), 0 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 -a/---- DATE: e' <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 />