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r <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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) O NER OI 6NTRACTOR <br /> JOB SITE ADDRESS: p2 700I/1f 1e (94 1 £7kZIP: Z ? <br /> NAME OF OWNER: A � PHONE: (home) <br /> Y ,A�� ( (work)(o/,Z. 4/7J 9 <br /> MAILING ADDRESS: 017012 ail„, ©.ed. CITY: 0104 D ZIP: 55'75-4 <br /> CONTRACTOR: /egAlvsf <br /> _1 PHONE: Q�,L, ( p�/��yP'y <br /> � O��G.nf� d�' 0CONTACT PERSON: MOBILE/PAGER: 6(.2- . 7 7v d <br /> MAILING ADDRESS:9/J9 Gin 4. .,¢vim S CITY: ekomi n ZIP: .. .54 <br /> STATE LICENSE: # o- 74,4c <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): �Gfy�p ,II q' &e.AVII) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S);57-/Pe9 <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 's is not a permit and work is not to start without a <br /> permit; and that the work will be in a c dance i the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: /7�l—PO <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 />