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• <br /> Total Fee: $ /3S'. Date Received: <br /> Entered By: X__// . Permit#: //6,-79 <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)CO ,TNE)DR CONTRACTOR <br /> JOB SITE ADDRESS: 970 Gey j Z 97(9 ZIP: 5'53 / <br /> NAME OF OWNER: Aee/ 444) PHONE: (home) 57(--6(P2V,.3 <br /> (work) G" /3?? <br /> MAILING ADDRESS: 9 70 i,y 2 s /, AO/CITY: Gv c,3 2 419 ZIP: <br /> Gv ` <br /> CONTRACTOR: S��f PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCIUTECTIENGINEER: 5E'/J 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 detail): hSI*l' 2 1�q a -/ <br /> Get f eA `1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> • <br /> ESTIIi IATED CONSTRUCTION VALUATION (excluding land): $ /4' <br /> G G <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: '��/ DATE: 7 /y-'9/ <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 />