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Total Fee: $ 37V. '3 Date Received: - 2-I "_O( <br /> Entered By: That Permit#: c S 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 O CONTRACTOR <br /> JOB SITE ADDRESS: 7VO &Ade oak CR4-) ZIP: 3-3-3 3 6 <br /> NAME OF OWNER: ,IrCk Z//Yl%!1 eK Y►1 j ) PHONE: (home) ?Si <br /> (work) <br /> MAILING ADDRESS: 71.1e, /,J2,7( Gia k Cu,•CITY: �.�� zfite ZIP: <br /> CONTRACTOR: 1 ft,..S ' /0 6 PHONE: 76 3- 417 k scl- <br /> CONTACTT PERSON: 'SR 1/}-+ ,5. J,rn c,� MOBILE/PAGER: t , �- g g -O;177 <br /> MAILING ADDRESS:_g' c 71w 1 X0 CITY: 1'7e" z,'* ZIP: ,37.5-3 9,e <br /> STATE LICENSE: # OAP,2 4/...s"? <br /> ARCHIL ECT/ENGINEER: 1)7/Weed 4J/)WS PHONE: 4/e <br /> MAILING ADDRESS: 3 o C4/4-}t',e,t),4v f 1' CITY: OROi1Jo ZIP: 35-. <br /> NAME: 717,4-v ee,✓ Jt-)1 REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration // Land Alteration <br /> PROPOSED WORK(describe in detai : pv <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Cy' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / )©0 <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 w.th th- approved plan. <br /> APPLICANT'S SIGNATURE: f% / DATE: g /-e).6/ <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 />