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I <br /> Total Fee: $ /h .B Date Received: <br /> Entered By: // Permit#: .E /,2n 37 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 7 g ) (4j I-- K �- .ZIP: Sir ?S <br /> NAME OF OWNER: CZ-1-0-14 t2 KA.J rp PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 027 gO 1,J11176 D9 X CITY: eN2orn) ZIP: <br /> CONTRACTOR: /6? U.J Ovc.)k'r'nkc, PHONE: ��� r- <br /> CONTACT PERSON: 17A,di2 rn/ MOBILE/PAGER: 3'(,y-, /,z <br /> MAILING ADDRESS: g-6/L/ ?i ' (ert CITY: QeosikS ZIP: 0-3 7 L� <br /> STATE LICENSE: # <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): Ae - p -z-- QL Far:pc <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. JIDET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( OO <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 with the approved plan. <br /> APPLICANT'S SIGNATURE: cd/JA DATE: o <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 />