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Total Fee:' $ Date Received: j ,3 I-0j <br /> Entered By: q ' <br /> y= ./ j > Permit#: 406,%i37 <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: 0q t-1L t _ S ZIP: 3 CL <br /> NAME OF OWNER: C °L./0 6' PC PHONE: (home) '5 L17 757 947 <br /> (work) <br /> MAILING ADDRESS: 3O 9 (AL'S T z-- CITY: Z oi..y L ZIP: ."7.5S-s--4; <br /> CONTRACTOR: (L2 V f7 S ( j2L PHONE: <br /> CONTACT PERSON: (orePe.---p 1. - MOBILE/PAGER: <br /> MAILING ADDRESS: 3O eI U)161— CITY:.l et Uwe ZIP:_6-S"'-55).= <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: iw i-, j]0 ) 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): ,.';; vffi<,t'J L) Cl) l E / /4 'r 61-kirri <br /> • <br /> STORIES: SQ.FEET OF EACH FLOOR: c.) <br /> NO. OF BEDROOMS: ;? GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 accord. .ce with the approved plan. <br /> � <br /> APPLICANT'S SIGNAT • / DATE: 34/7 a3 <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 />