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Total Fee: $ ?J sO ' e I Date Received: <br /> ntered By: Permit#: l 7 3,(O <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' • TRACTOR <br /> JOB SITE ADDRESS: 7/. e-iiite%Ci.1 rv. a ' ), r/7i}ZIP: <br /> NAME OF OWNER: < (2,1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 5'x'15 t17 i`,etvc d4 A21,. CITY: f)Z c') ZIP: <br /> CONTRACTOR: 1.241.0 v • ;4' Cv7.5,,Ay cl a.J PHONE: 750 -- 1Y2'6 <br /> CONTACT PERSON: vccc v ;:of MOBILE/PAGER: '' <br /> MAILING ADDRESS: i4.5° ( 2/5'.til.: iv'. CITY: )%742,10,/,,X.: iri✓LIP:63W 7 <br /> STATE LICENSE: #2 co 6.2.5"7 - <br /> ARCHITECT/ENGINEER: Ato, ' 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 detailt3- D..�.4 D 31 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1/, /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 in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: r ld. , 4:-)pjtlk DATE: '7— Z' 17 <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 />