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t Total Fee: $ � "' Date Received: r/j/ /i J <br /> Entered By: ` Permit#: l 6,f,3 <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: '"VoO 'Ne o.r C r`\c_ ZIP: SSS S(o <br /> NAME OF OWNER: CVui-Ics e 14��•� `") PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: r-c'o o w e",- C`r k' CITY: per,.. ZIP: ' $1. <br /> CONTRACTOR: DE-e.\ M�.t L L PHONE: w-1 s- ckS +S <br /> CONTACT PERSON: Q w 51..t MOBILE/PAGER: 74-0 — 0 a-Sr 3 <br /> MAILING ADDRESS: si s s.,s, r,_ CITY: or,,, ZIP: S-5 s <br /> STATE LICENSE: # ssc. <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): Koko k 1 s x ►S D-c c-A<- - <br /> STORIES: SQ. FEET OF E4CH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -ss , o 0o <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 accordanceith the pproved plan. <br /> i /- / °r$ <br /> APPLICANT'S SIGNATURE: , ,/ 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 /> 5 <br />