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Total Fee: $ 3_1/. ;23 Date Received: <br /> Entered By: _z.v, Permit#: Pr Z— <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) OWNERI'R CONTRACTOR <br /> JOB SITE ADDRESS: S (J n._ �_,�,�� I \ . ZIP: u j S< > <br /> NAME OF OWNER: I l c t .� t. ; ;A y LL?: vL,z,7" PHONE: (home) "7 — 4 4 <br /> (work) — <br /> MAILING ADDRESS: 41G.�A.,7 L,..1 . _ CITY: lL..<,.= ZIP: 3 , <br /> CONTRACTOR: h!( 1-4,A c Si u.2:,L. PHONE: 47 3 -4 4 3 <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): rJ ,L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> .j-11 i!•:Jc �2 ;$7 os <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �=��,, s„1, ,-,2, c. <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 /> APPLICANTS 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 />