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Tcil Fee: $ Date Received:<S, 7-c?,:7 <br /> Entered By: Permit#: P ® '5153 <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: 'I4 $ eES-7 ,79'/-,'/!i`6,V /2 C7,9() ZIP: <br /> NAME OF OWNER: 3/AUL' P()L1 PHONE: (home) 7 .y7, ? 47y 7 <br /> (work) <br /> MAILING ADDRESS: y 4,4V .6/2,94/c4/ CITY: C.),,eir ZIP:sS'36'. <br /> CONTRACTOR: 7 it/N C)/7/ 47.62c), -/4,7.,_ `PHONE: G S/ C3(; ` 6.1d <br /> CONTACT PERSON: 1 /9 j._rvs 704/ (MOBIL AGER: 6 f, y 90 79- y 7 <br /> MAILING ADDRESS W2/C/ S' T CITY: S i /2,46/z_ ZIP: 5 T3 7/7 <br /> STATE LICENSE: #2 c2c).2v 4_743 <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): <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 ac;a rdance w.dP the approved plan. <br /> APPLICANT'S SIGNATURE: ', 0U ' d DATE: - 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 />