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''Total Fee: $ /,R-/. v� Date Received: 7 - -cf).-'O. <br /> Entered By: �} Permit#: A 6 6',5 jb <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: f ci\-/ • g' /r ZIP: <br /> NAME OF OWNER:. ✓ (LL) PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: U v E. c 1 , Hi f\--5 f PHONE:C/ �' 7c} ("S" S C) <br /> CONTACT PERSON: -g i P MOBILE/PAGER: CGI d- - a 6.7 -3 i / 7 <br /> MAILING ADDRESS: S°/ 7 S I.-`les L.v oo 0LD CITY: ('oL'r'Jb ZIP: SS-6 y <br /> STATE LICENSE: # 5 3 O <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): / 'eA rt 4-- `2- S ( )--)6, L ----&______ <br /> STORIES: <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 5 , 0 `' O <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 b in accor.`nc; with the approved plan. <br /> 1111\,• <br /> APPLICANTS SIGNATURE: \MOW <br /> DATE: -I'? — 2 & - c)j <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 />