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'! <br /> io c <br /> Total Fee: $ 1 Date Received: .� - cr.. <br /> Entered By: 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 R CONTRACTOR <br /> JOB SITE ADDRESS: GO U-s e ^z es(2.---T-4- ZIP: mss'3 ib <br /> NAME OF OWNER: M0174- S R ((4 PHONE: (home) OS'a-67( <br /> / (work) c1-►'►�,Q- <br /> MAILING ADDRESS: ((so w - L¢we (4_ CITY: e/2-4 0 ZIP:SS 3.s'' <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): -D2. c(<- Nre-l---r- TS M3 ave- <br /> 6 <br /> ve_6 201A-1•I 9 per o L — N aT c 01.1 e 7'a 4ak,S.2 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ?-50 o - 3 6 a <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 un erstand this is not a permit and work is not to start without a <br /> permit; and that the work will b in accordance the approved plan. <br /> APPLICANT'S SIGNAT • DATE: / c /S <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 />