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Total Fee: $ ,304 S Date Received: -5--27-D-.3 <br /> Entered By: / Permit#: /4/9635-7 <br /> a q i2Jo3 <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-"()R CONTRACTOR <br /> JOB SITE ADDRESS: zs 5 41`A 2 C-A N L- Al ZIP: <br /> NAME OF OWNER: 1iic€frt c i A)/cG CEvc 2 PHONE: (home) 55 Z-i`73 Yc 3,3 <br /> (work) <br /> MAILING ADDRESS: SS---c.,/G4p__ Lam:: A CITY: (..(f).0,_ ZIP: <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 /> P OPOSED WORK(describe in detail): r-�„Sc�l iN c �r 2 c��,a �W s 7' c. Sc z e.v <br /> �(Z Gtd d- Ki ii cc-44,.. <br /> • <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ yJ — / AA <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 win be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: -- DATE: - - 2 k- U <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 />