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Total Fee: $ Date Received: <br /> Entered By: _ /0* Permit#: `i 9),FC, <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: K Pc a E it/ FE n S o A) ZIP: ,SS 3 9/ <br /> 2- 2 8 5 wet3eT l-/ LLis <br /> w-A y 7 A FA <br /> NAME OF OWNER: PHONE: (home) 4/ 7i —0 y 9 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: CR C 5J A/6 'RI,o F% NG PHONE: 3 e — D $5 7 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 9 7 / <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration f( Cc o d k Land Alteration <br /> PROPOSED WORK(describe in detail): re kipV./ear o Fr <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 , D gq , o-c) <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: � i7/--o-zjDATE: 7 - 7 <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 />