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Total Fee: $ iti . ' ' Date Received: ,y��f//2)' <br /> Entered By: " Permit#: <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 4C0T WATER1'Ow/4 12D ZIP: 553 Sq <br /> NAME OF OWNER: t©4.1 N .‘Rou 4 PHONE: (home) 54r4g" <br /> (work) IZ • 4.41• Scis Z <br /> MAILING ADDRESS: 44705" \N14ar12rek A-1 CITY: (f(•6J2 4 R. ZIP: 'g 35-41 <br /> CONTRACTOR: O wu�Q PHONE: Aaf C <br /> CONTACT PERSON: K. MOBILE/PAGER: <br /> MAILING ADDRESS: Arsokig, CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 0 Wk.'tIZ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Co k,„/fir ej_p 47244-1/4•J <br /> 10‘ s ucC lklro per./GVH 1415 <br /> STORIES: I SQ. FEET OF EACH FLOOR: I ZOO <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. 0 DE . O <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ itZfl Of 000 <br /> I hereby apply for a building permit and I acknowledgethat 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 iii : 'ordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' *�4 ,/_ ..s. <br /> DATE: Q3 •ii -6t$ <br /> If <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 />