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Total Fee: $ Date Received: ) ./ I <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ` 1 -7 C) j \/VA -%-alU+,'/t/ iVs) ZIP: 15-_ ` <br /> NAME OF OWNER: M i..-f�-1-.-iZ-�ti' 1 hagi2. cLic! oNE: (home) 691.�:L ci 7 -6,111 <br /> (work) i'` -I - f( c (vnq.--t ) <br /> MAILING ADDRESS: 1-110`J Lk 1 Lv-i 04 CH'Y t . 4/Ai ZIP: .15 .'s--;3^.-- `-. <br /> CONTRACTOR: f;; L_Y�.( PHONE: ) - ?CO' --2 -(Y-10 9' <br /> CONTACT PERSON: `1;,,0 ')(-> MOBILE/PAGER: <br /> MAILING ADDRESS: j 2 9 _ Ni 1 ,,,4- S� , CITY:—. 2.c_K -,, ZIP: 5` 3.--�= <br /> STATE LICENSE: # <br /> ARCHl'1'ECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure v------- <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): C 0 N ...-; c---I c vd (_ r?-..r.)X'-)(> <br /> (heti I I � M'� <br /> T '�r � (3.Yf � C �.f . <br /> , <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `7 j O -s <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 th ordinances and codes of the City and with <br /> the State Building Code; that I understand this i 'of a permit and work is not to start without a <br /> permit; and that the work will be ' ac ordanc; i the approved plan. <br /> APPLICANT'S SIGNATURE: 41,," DATE: / ' / (7 1 <br /> NOTE! Parade of Homes events re'uire separate permit approval by Police Department and <br /> City Council 60 days prior to the a'ent. Non permitted events will not be allowed. <br /> 5 <br />