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I - > ( <br /> Total Fee: $ -,f s'36, 3 `- Date Received: H <br /> Entered By: )7) Permit#: "� L)" >C, , <br /> ` , <br /> i70Y/Z /2' _ I -( 1`' <br /> CI OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) „v <br /> — — C <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTS • <br /> JOB SITE ADDRESS: oZ( P 0[ W v J . _„.1 , Z r5 <br /> i I <br /> NAME OF OWNER: p /�,, ,i9 r 'V$ Q- yJ PHONE (home) <br /> (work) <br /> MAILING ADDRESS: C Y: ZIP: <br /> CONTRACTOR: JPHONE: Li7f7( 2 / <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: Y:____ .0",t ZIP: / <br /> STATE LICENSE: # J-g$(c ? 3 Y otki W e-114:0-1, S n * <br /> ARCHITECT/ENGINEER: S61,1L-.e. 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): 02 1i ,,,,_-B4 . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: • GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ G S 0,0 0 C <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 . •.r, . e the approved plan. <br /> APPLICANT'S SIGNATURE: ?A _ __ DATE: Il C O 0 <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 />