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Total Fee: $ Date Received: co cc-' <br /> Entered By: Permit#: s'i <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 O /CONTRACTOR <br /> JOB SITE ADDRESS: 2-2-15- 64- e L7C4' EI ZIP: ES 31 / <br /> NAME OF OWNER: gyie0A, e Jii '501 PHONE: (home) 47,5' 3'03 <br /> (work) 5t/7 -74(55. <br /> MAILING ADDRESS: 2-2-"? �in Gbee4 CITY: 411y7h.-4--- ZIP: 5 3S/ <br /> CONTRACTOR: i�(Oe, PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: / -(o,--L 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): R.—J , i /±).40-- <br /> D � <br /> STORIES: SQ. FEET OF EACH FLOOR: <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 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 SIGNATURE: DATE: 64 00 <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 />