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Total Fee: $ , 6 I , "7/ Date Received: c,/2,,A <br /> Entered By: Permit#: (7/ <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: 7 �, ZIP: <br /> OF OWNER: .,f,) PHONE: (home) y7 G'5,5.'3 <br /> NAME � � ti �� J�. ! / <br /> (work) 1‘.; < o 6.5 7 <br /> MAILING ADDRESS: ,2/ f �� , ('�'� is`" CITY: X&,,�-, ,ti ZIP: .,S'3 3 <br /> CONTRACTOR: (y, !S y y/ PHONE: ._5 A t '" <br /> CONTACT PERSON: S A /if MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ipo2 `"_ <br /> ARCHITECT/ENGINEER: IJ t /47"-/ 14,L c- PHONE: E,' <br /> MAILING ADDRESS: ,' TY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New '\ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): A; (,Ci //c5 GL S <br /> STORIES: =r' SQ. FEET OF EACH FLOOR: 1 7.'?2 7,4.til ` y 'v1,44/w <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / CC <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 t s=approved plan. <br /> APPLICANT'S SIGNATURE: s ' DATE: �,a. / /7!7 <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 /> 9 <br />