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S <br /> DateReceived: <br /> Total Fee: S 6 �� �� <br /> Date Approved: <br /> Entered By: )2G2J Permit#: 2,4'! ( <br /> CITY OF ORONO - BUILDLNG PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) CONTRACTOR <br /> JOB SITE ADDRESS: 5c.3"-- v est dgrAri A A/ZIP: 4.g,.3 V cfa� <br /> NAME OF OWNER: •..J I,(S c J -t2ffeA5 n n PHONE: (home) V1702-32./4" <br /> �n (work) <br /> MAILING ADDRESS: (54.41€ CITY: f rocc..ncl ZIP:5S.3 (2V-r 7 <br /> CONTRACTOR: d/&,5 PHONE: <br /> MOBILE PHONE/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 X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describeindetail): C-Ar-deii s'hLd <br /> STORIES: SQ. FEET OF EACH FLOOR: 76 S� 743.` <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTL 1ATED CONSTRUCTION VALUATION(excluding land): 67'00 '251– <br /> I <br /> —I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work ill be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: , . ;vim;% DATE: 6 <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 />