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t Total Fee: $ �' $ Date Received: .S r- 6 - 9 7 <br /> Entered By: Permit#: FcRo e7 <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: ' g� W . FOS v,k VQ-oo ck ZIP: 553 5 <br /> NAME OF OWNER: Poe A. )L t L PHONE: (home) Ly-4-s-- 1-1-9 <br /> £ (work) <br /> MAILING ADDRESS: - ._ .e CITY: L[tL-„e ;ter- ZIP: <br /> CONTRACTOR: IIsPE thW Lo iZ.S PHONE: 8?S-(IS 8S— <br /> CONTACT <br /> SCONTACT PERSON: � Tor-7 yA Z MOBILE/PAGER: 6 Y 99°/ <br /> MAILING ADDRESS: 52_24- w. qa y s CITY: 6L00,,,,,,,,)4„` ZIP: ssga- <br /> STATE LICENSE: #azeo 4 4 g► <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): ;s <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9 DOe. — <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 ap'roved plan. <br /> APPLICANT'S SIGNATURE: C= , ♦ 7 DATE: jo 6 , g4- <br /> c`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 /> 5 <br />