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Total Fee: $ /52. g RI Date Received: _ <br /> Entered By: e,/, , Permit#: //So _.. <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 R CONTRACTOR__ <br /> f <br /> JOB SITE ADDRESS: 26o l W. ./ -,-776,7 e / ZIP: <br /> NAME OF OWNER: Do, ,8j,cr-bzLroc- /Je>, HONE: (home) ? <br /> (work) 7 <br /> MAILING ADDRESS: 2 60/ l4// Fr/ ITY: G.- c ZIP: <br /> CONTRACTOR: T Z--(14 L t A z 6-/J PHONE: V y/ - q 8/E <br /> CONTACT PERSON: /-42v/ /( k1//, 7Le,--s MOBILE/PAGER: G 5---9-l .57-/ 7 v <br /> MAILING ADDRESS: 7/5 5 C e,_ /, /7/ /(.,,(% CITY: Fcl«e1 ZIP: 3 s//3 9 <br /> STATE LICENSE: # 76 76 <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): Twv ,A,--/;_, /wen,//z7 e-,.-, /5- c %, /v e w7 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> oe <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ? O00---- <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 acco ce with the approved plan. <br /> APPLICANT'S SIGNATURE: / ��� �%/�^ ATE: 2 3 /9 f <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 />