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Total Fee: $ l C . 7 ' Date Received: 5 7 <br /> Entered By: � Permit#: /1 .3/1 <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: /6? 0 - 1 �:i Y'�.�Z l�r� ZIP: 3-15-.3 31. <br /> NAME OF OWNER: tv;: ht-r-t L,h.>/;r7 J frr` =*i PHONE: (home) '/7C 2 (- <br /> (work) <br /> MAILING ADDRESS: /df ' "c t , CITY: C i: ZIP: 37'3 <br /> CONTRACTOR: Cc; /t,d n br h C (Gr p: PHONE: 97 T ' /5"_-7 `/ <br /> CONTACT PERSON: J-,,,, s /,,.'.;pr,, MOBILE/PAGER: 7;2 .3 . e, <br /> MAILING ADDRESS: 4 i 7 ,1 T Z p, CITY:_in ,1<<:, t ZIP: 5 l) _31 <br /> STATE LICENSE: # C./4/,3 <br /> ARCHITECT/ENGINEER: 5 ,; I6r?4� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 6/ �c=- c.; 4 ffcrc /ir c <br /> STORIES: 0 n` SQ. FEET OF EACH FLOOR: 2 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ A (-)Cab <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 ac ordance with the approved plan. <br /> APPLICANT'S SIGNATURE: _� G',,?t ti-�_ DATE: -/S / <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 />