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Total Fee: $ 2 3). Date Received: q- -9W <br /> Entered By: Permit#: 10 ga l <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 O' CONTRACTOR <br /> JOB SITE ADDRESS: (c?Z�� �� // r" e 4 ZIP: S 3 <br /> Peek} 1-10$2_4--/-- II <br /> NAME OF OWNER: !3p✓) (tet)n i tt P r] PHONE: (home) - 4712,77 <br /> �� (work) <br /> MAILING ADDRESS: /g l CSI/57 / kITY: 2/f0./777 ZIP: .�5 <br /> CONTRACTOR: ((,)S <br /> 1 72 cYt ©(:) C` PHONE: 6/;? - ..33 S <br /> CONTACT PERSON: j v1 I L. ✓t. MOBILE/PAGER: <br /> MAILING ADDRESS: Ftp0 CITY: WU7,k1i/ ZIP: ij.4;.-- f 3 <br /> STATE LICENSE: # 5) d) <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 /> XYZ COl re)c t 11.. C(A/rtit4KVi n -e0 o <br /> `l U <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /5/ 0 <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 approved plan. <br /> APPLICANT'S SIGNATURE: t-lam DATE: 9"c738 <br /> NOTE! Parade of Homes event''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 />