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. Total Fee: $ f7,e., tf 3 Date Received: I o-7-6 3 <br /> Entered By: Permit #: 6444F. &n,4 <br /> forvi,Y'$ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Y J' All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: rr�� ff(ciircle one) OWNER R"CONTRACTOR <br /> JOB SITE ADDRESS: �1 (0le <br /> cJ (�GJ\C1 \ (Zd ZIP: S S 3G Li <br /> NAME OF OWNER: G,,UKeI PHONE: (home) cfS2 7a 6.g <br /> (work) 6 P2-C9 g S G 1-4 <br /> MAILING ADDRESS: /4G.gO yV.‘Q rovv- A CITY: ROUtIQ ZIP:5-S36;t� <br /> CONTRACTOR: S( C.$ Pt pp l c C OP1 '" PHONE: <br /> CONTACT PERSON: MOBILE/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 <br /> Move Remodel/Alteration Land Alteration <br /> PROP SED WORK(describe in detail): Q -b U t `& -x I S 4- <br /> (1evu c1eck Web - <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c1, I <br /> 14 <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 .• ord. c with the .pproved plan. <br /> APPLICANT'S SIGNATURE: --� <br /> �; � ��`r DATE: i � - � � � <br /> w <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 /> 9 <br />