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y, Total Fee: $ Date Received: 06 <br /> Entered By: Permit#: / 0 Z %f p <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) WNEbR CONTRACTOR <br /> JOB SITE ADDRESS: a j 66,110,r --' /Ls ZIP: 6 6 3 a/i <br /> NAME OF OWNER 4-eik q-lad n i Le S PHONE: (home) -/73 O17\- <br /> (work) (o�� 543'aq�a (ba.rieni <br /> MAILING ADDRESS: (05 f, J-h he r i'I/5 CITY: (,Q)(bt yQ ZIP: 35 3q <br /> CONTRACTOR: N j k PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration v Land Alteration <br /> PROPOSED WORK(describe in detail): (i cG .o dect- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c O CO- 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 ,/I%!�� 'l�;�L% . DATE: I <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 />