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Total Fee: $ �/��o S Date Received: <br /> Entered By: Permit#: 05(o 7! <br /> CITY OF ORONO - BUILDING PERNUT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ` ----------------------------------------------------------------------- ----------- <br /> ---------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OIZQONTRACTOR , <br /> JOB SITE ADDRESS: �] 5 cJ ay ZIP: 55-354 <br /> NAMEOF OWNER: PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: ala 5 c��7 zr� F�I,,�C, CITY: t-o.j 14L_ ZIP: 5535(f, <br /> CONTRACTOR: n0-Sj ` PHONE: 7lo3 -�89 - SSS <br /> CONTACT PERSON: Re,,;_, MOBILE/ : &/2 - <br /> v l MAILING ADDRESS: ,,?78fo CITY: 15,,,4 ZIP: -5'5C1 1/0 <br /> I STATE LICENSE: # 3'780 <br /> ARCHITECT/ENGINEER: N IA- 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): L D,,)cr -It- t,.,a 1� Ljas C <br /> STORIES: _�_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: D GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $9ep®.o-a <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 accornce with the approved plan. <br /> APPLICANT'S SIGNATURE: ( DATE: <br /> NOTE! Parade of Homes events require separate ermit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />