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Total Fee: $ 1 • /LI Date Received: i /5_ c d. <br /> Entered By: Permit#: Q 9 <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: CO10 Qeb ,� \-k'\\5 1\C ZIP: <br /> NAME OF OWNER: Ve,\\11 41 moi' `lme1 G- PHONE: (home) 416- <br /> ~t a 43L4 <br /> J (work) <br /> MAILING ADDRESS: apcko \--\40 CITY: Oc'c3c\v ZIP: <br /> CONTRACTOR:\ cx\ 1?(RR_ 1k* \i0 PHONE: 4 Th -1330 <br /> CONTACT PERSON: 'Rtmes \\c .0 BILE/PAGER: ska-- `�a,0[� <br /> MAILING ADDRESS: Q coo, �c �'�� CITY: (1 -. a,5 ZIP:554 33 <br /> STATE LICENSE: # \\(q <br /> ARCHITECT/ENGINEER: ` mz 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):poCoAc\:.kk\I \, c`�i\oc \010 ,c' <br /> � ' 5 90,... ‘0 oc , cCQ\oc� ex�Sh r�:�c1 �tA�e. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3)500.CO <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 SIGNAT R� f DATE: \\. ".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 />