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Total Fee: $ ,9 LA-4g 7 Date Received: 5 ' (r_7? <br /> Entered By: Permit#: 1/ 3 0 <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• ' • • • e <br /> MIllb <br /> JOB SITE ADDRESS: LI "a- (.JCt 2 `mow►-, 2 C( ZIP: <br /> • <br /> NAME OF OWNER: (. j v v, a Y.e PHONE: (home) 11-7 CP- `f 2 <br /> (work) a- £s k U 8 o <br /> MAI LNG ADDRESS: L -S 5 (,Dcaea4-w11 (LcCITY: O 9 ZIP: <br /> CONTRACTOR: 1.()L'S--c eX r' PHONE: 5 q I- 63 65 <br /> CONTACT PERSON: () L IOBILE/PAGER: 3( 5 <br /> MAILING ADDRESS: p c S CITY: ZIP: <br /> STATE LICENSE: # c)t S CC(e <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteratior Land Alteration <br /> PROPOSED WORK(describe in detail): re0 - 0 u S- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j 5 D--7 5, c) <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 /> APPLICAN"T'S SIGNATURE: �� U vw‘ ,/ DATE: -Co --5 <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 />