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Total Fee: $ M--OS Date Received: <br /> Entered By: .C,‘' . 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 2 i ? (/`/ i 11-71 IS" ° ZIP: ss a <br /> NAME OF OWNER i C (k-h-I - L44-CF ANI PHONE: (home) (1-7 3 -a i O <br /> (work) <br /> MAILING ADDRESS:2-1 7 S 14/t3 3ry 4i l)S 9J CITY: ! g')it ZIP:SCi - , <br /> �� C61/‘'C----� . PHONE: L/ - 6 S- <br /> CONTRACTOR:�_�r 571. � 3 <br /> CONTACT PERSON: g,p MOBILE/PAGER: W6 7- 3 //---7 <br /> MAILING ADDRESS: Sy 7 S— L Y'r 'wuo,D t..1A-9 CITY: v'lrNo LiN° h ZIP: Cs 3.L �-J <br /> STATE LICENSE: # 3a <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): -� 5 c4' �eJ� ) e S cf 111--'P.06 <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Z 3 CD <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 accord,nce with the approved plan. <br /> APPLICANT'S 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 />