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• Total Fee: $ /A9'7- Date Received: Y/1/,,-(,, <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) OWNER OR NTRACTOR../ <br /> JOB SITE ADDRESS: 7tTL (ad__('1/ ZIP: 5 <br /> NAME OF OWNER: 410// e Jy PHONE: (home) `f 7 a ci <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: '�`, Y,,-6-S O Id- a, CC, PHONE: Ye—7.227 <br /> CONTACT PERSON: Mets- MOBILE/PAGER: <br /> MAILING ADDRESS:(2<72 l TnAse c pt. CITY: 61)-(44,1 . ZIP: 55-113 / <br /> STATE LICENSE: # CC 32 2 .7 <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): CLti eft % 1/4 <br /> STORIES: / � SQ. FEET OF EACH FLOOR: <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 in accordance ith se approved plan. <br /> cl <br /> APPLICANT'S SIGNATURE: �L� i ,/ ^L � DATE: r 7 � <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 />