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Total Fee: $ SLC' ,S3 Date Received: 6-/-°V <br /> Entered By: OY1. Permit#: 4.0 756/ <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) <br /> TOWNER ORiCONTRACTOR <br /> JOB SITE ADDRESS: a l 7 �/c 6t)f R'it s ?A ZIP: S5-39 <br /> NAME OF OWNER: 54Al5+ G PHONE: (home) I d2'6 S -ac32_ <br /> ;,, FA/ �lr�c � A�t,/( � <br /> (work) <br /> MAILING ADDRESS: DA i £ CITY: ZIP: <br /> CONTRACTOR: --(C p . ?c9C)\. 'f 5 o- PHONE: 763- Sf.L 41000 <br /> CONTACT PERSON: ff C'p iZ Z`t e A/L L/0,J MOBILE/PAGER: 76 ) - 30v- 1c7c 1 <br /> MAILING ADDRESS:2‘,1 0 ,(JJ. / /69 CITY: P1 y4,d,,,Hi , ZIP: S 5-'1'11 <br /> STATE LICENSE: # i - ;Zrj ,t 6G qty. <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): (Itrc ,1 1 V I Qcol. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ at 0 OC) <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 SIGNAT f ) DATE: > -0 f <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 />