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, Total Fee: $ 7/VC. DateReceived: / o' 5 9s <br /> Date Approved: <br /> Entered By: .-(',/Z/ Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OltCONTRACTO <br /> JOB SITE ADDRESS: /C' COO K %//5 ZIP: <br /> • <br /> NAME OF OWNER: a f t7L-1Ie? PHONE: (home) Y/5- )//96.., <br /> (work) <br /> MAILING ADDRESS: LA.%C,bi r Hi )iSIZC) CITY: /r.z/;L�/ ZIP: <br /> CONTRACTOR: j ( -7/7e. o PHONE: /j 5 <br /> MOBILE PHONE/P�R: ,2 7 uo,«' <br /> �,; r � :,�,_7- CITY:�'/) j,. c-rf 4;9- ZIP: :53 ye' <br /> MAILING ADDRESS: � C� �_� i �. �-� <br /> STATE LICENSE: # 'g•-7f) <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration l/ Land Alteration <br /> PROPOSED WORK(describe indetail): ,:7/ji / 2 • �; �//Me; 'r h -4` <br /> STORIES: ' SQ. FEET OF EACH FLOOR: 6'/ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 'Or/ DATE: /' _- 73 <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 /> 9 <br />