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Total Fee: $ /n^ — Date Received: <br /> Entered By: .)i Permit#: y1,70/ <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 'ONTRACTOR <br /> JOB SITE ADDRESS: 4,20 ?e,D ' /7//LL (O ZIP: <br /> NAME OF OWNER: /z7 V (DE PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: .__5 /flf CITY: ZIP: <br /> CONTRACTOR: 1-c)f' 5,////(7-'' Cc)A)-S A'C1c?7D ONE: <br /> CONTACT PERSON: 60,/) .5/-)//>h MOBILE/PAGER: <br /> MAILING ADDRESS: ) 5 L 6/N/J co D Gd/_) CITY: 7&(}jd) ZIP: 53�y <br /> STATE LICENSE: # 0 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x Land Alteration <br /> PROPOSED WORK(describe in detail): /1",r /Z )/t- /4* isi iN( ;'&( • <br /> //vs177L� /Ue,) /c=)L>F.A) //SLS <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ V9,T5.0 00 <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 acc rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: /1--•; 14/4 DATE:2/,`-5 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 />