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:00- <br /> Total Fee: $ go (a.9 3 Date Received: vim-7 0 <br /> Entered By: q Permit#: /Qa2Co.. <br /> CITV 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 )R CONTRACTOR <br /> JOB SITE ADDRESS: r,6 „ i to.. L u71< , c.ith ZIP: 55 3S C <br /> NAME OF OWNER: ).16-)\\/I d )-11 } ! PHONE: (home) U/'7_3-1 311 c.. <br /> (work) %i,.74/ - /,:s'7 <br /> MAILING ADDRESS: D(J Q Y ).Ca Y\ . z, CITY: 1 i (v) L_ci.K,- ZIP: V 43'5_35 <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): 14 8d d,:: ui-`, <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: Ani,.;. k !1 DATE: in%(t ) , 1619? <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 />