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r <br /> t Total Fee: $ / °! 75r Date Received: <br /> Entered By: J Permit#: qd s <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z7 Z S g,,4, B ZIP: 5S <br /> NAME OF OWNER: V C,= CAe 4A PHONE: (home) <br /> (work) z-t-7(-,—z4-37 <br /> MAILING ADDRESS: Pc). '375-- CITY: "k--e- ZIP: 5-5-3S� <br /> CONTRACTOR: PA 1 j,e, .��a �� PHONE: 4 73-8e;K o <br /> CONTACTPERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: $'y-� cd,'�lk.� Or. CITY: Lo,� L4 ZIP: SS3s-4-qI3/ <br /> STATE LICENSE: # j/A <br /> ARCHITECT/ENGINEER: /vim AeG 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): AL, A-ck <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 16 s 0 00 <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: DATE: v <br /> NOTE! Parade Qf 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 />