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Total Fee: $ ''7,27 47 Date Received: <br /> Entered By: 44g, Permit#: /0/. 9 <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: '770 1^--/4i7 2 S, 4'IJ ZIP: 5537/ <br /> NAME OF OWNER: e�C/ 15"14} PHONE: (home) 176 12 I�3 <br /> (work) I/'76 - /3 7 3 <br /> MAILING ADDRESS: q 941 1A--14,7 2 tie-, IkCITY: k'q y 2.7)1 ZIP: .3-3- <br /> CONTRACTOR: <br /> 5 CONTRACTOR: 5-€/ 12 PHONE: V 7' ~ (2 1/3 <br /> CONTACT PERSON: St/1 MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 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 inn. detail): I"4�(4 h 5 2 C.4 r '('r 95& t <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATT. ,S DET. G) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,3; <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: /Zi-‘K./AY7-2 -"----- <br /> DATE: t�^2 '9(r <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 />