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Total Fee: $ °� Date Received: A <br /> Entered By: y2e /_ 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 /> ------------------------------------------------------- ----- ----------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WN OR CONTRACTOR <br /> JOB SITE ADDRESS: z,-l AS We a r C, ZIP: 5-S 3 5 <br /> NAME OF OWNER: SCO �n+CA 1 V�Y�4� PHONE: jhome)aa9(� q d4 <br /> (work) 611 `60U—7(4 <br /> MAILING ADDRESS: 2LJgsyitur o rC..,ve- CITY: QLi� ZIP: `�5 b <br /> CONTRACTOR: St1 PHONE:_g56a- <br /> Mc� ,�L,r�C <br /> CONTACT PERSON: aRl \ ,r MOBILE/PAGER: b 12 5$( �CtCtlo <br /> MAILING ADDRESS: S ca.rn(E- CITY: ZIP: 3 (p <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 5 .y- 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): aeGAC 1G (o0r(1 Q ct NLA. <br /> G <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .0 OD <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: <br /> 'lyc�y 1� 1 <br /> NOTE! Parade of Homes events require s p oval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />