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Total Fee: $ (1 Date Received: <br /> -10 <br /> Entered By: -. Permit#: <br /> CITY OF ORONO - G 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: ,Z(60 W,GLJ e-- Ol vcQ• ,c 6 ZIP: 5-lr3S6' <br /> Morrie. W164 --M w MarlCe7;, s6`e, H , <br /> NAME OF OWNER: Cc,r vac c724 Lop,1,,,A-e/om<to PHONE: (home)9J 2-13f-19P 9' <br /> (work) 9. -.alial (7/73—/ -1. <br /> MAILING ADDRESS: 5-00V anti- a, CITY: I4,one enA-� ZIP: .c--_c3fis <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 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 in detail): .;,,,,,,,, cell, � ,� �rl,t i Qu.cineg-c) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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: % c ---VE-fr- DATE: �/ ' �� <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 />