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Total Fee: $ / 6.,0/.4 c Date Received: <br /> Entered By: 1.11 Permit#: G�i? <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) <br /> WNER 01 CONTRACTOR <br /> JOB SITE ADDRESS: 41/C L) LA f ro,c.. ZIP: 5 S S sl <br /> NAME OF OWNER: ��C.�'e } S �l PHONE: (home) y D(1-/ <br /> (work) -- <br /> MAILING ADDRESS: -//()L1 ii;','IrEto /j CITY: (AMIE Pi ZIP: 5 a 3S`% <br /> CONTRACTOR: .c(le PHONE: l/t?y -/y y` <br /> CONTACT PERSON: t F MOBILE/1(AGEI (e C <br /> MAILING ADDRESS: S: C CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITE jNGINEER: 1'C[ Ll\ P Ej -i Ni Al PHONE: ts e - (, YY <br /> MAILING ADDRESS: 1-/-7q7 H w.j 10 A/c CITY: NEW g,', if rH ZIP: <"S I l <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition ) Accessory Structure <br /> Move Remodel/Alteration \k Land Alteration <br /> Nr--1N) <br /> PROPOSED WORK(describe in detail): F t I it cl t 'v 1 F,r-,10I.A.'v r',2v <br /> 4,)5.-1,04 Oa ,�, _ /Fft CC- l<i rrti4 C! 0),m, 41/ i Cf flr ' <br /> STORIES: <)-- SQ.FEET OF EACH FLOOR: / r iCe - Z UJ( ; 2 (11)F6(.. 3 71 <br /> NO. OF BEDROOMS: rx;rtIGARAGE STALLS: ATT. x DET. ° <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /Of CO <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 ip accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 6„.sv...,4_ / , I( DATE: t DAY fl <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 /> 9 <br />