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/ G 1(3 <br /> j / 1U / <br /> Total Fee: $ / U Date Received: <br /> Entered By: 72/7 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 /> THE APPLICANT IS: (circle one, OWNER O R CONTRACTOR <br /> JOB SITE ADDRESS: CSC, k_t LC L‘A - _ c>Lt7C 6_ ZIP: • ' (1, <br /> NAME OF OWNER: - \\; PHONE: (home)ct2 4 Y 3 t Si Z <br /> (work) 7b 3 c l-t S <br /> MAILING ADDRESS: �L, cam,e<� �L S CITY: ,�ti � � ZIP: L; <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): V\J-3 6 ULk) A c_:$ s co V- ( ;1 k <br /> 1 ' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -12)(c;o u <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: `A-L1 DATE: /2-c, (c <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 />