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Thtal Fee: $ / 9.s'/, 6 Date Received: o /3/ <br /> Entered By: Permit#: f '7 <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: j,6^G'1 \� 5 f .�����( 7;rr �'���� ZIP: '7.-5-31/ <br /> NAME OF OWNER: DP-., J t Da.. ,? 60,-<,4W--5 PHONE: (home) Ll )/ - 1;"--° <br /> (work) <br /> MAILING ADDRESS: Ge..,or \�'e 5�t 1� �;i1 f Ac> CITY: ZIP: 5S-3 I/ <br /> CONTRACTOR: i��� ��.,.J7(2� ���o� PHONE: if/' 7/74 <br /> CONTACT PERSON: 74., MOBILE/PAGER: <br /> MAILING ADDRESS: ; 4-)EZ,J rt.€t CITY: 1,.c r; ZIP: K3 3/ <br /> STATE LICENSE: # 21 gCk <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): ) )i7f f,o, !\/, • <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /SCS cco <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 /> 1,4,APPLICANT'S SIGNATURE: f! /lG°; LI- DATE: /Z ail I& <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 /> 6 <br />