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"tn • <br /> Total Fee: $ ;''f 5 , Date Received: "/i<< /,7 <br /> Entered By: w .: Permit#: j' <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 ONTRACTOR <br /> JOB SITE ADDRESS: ,-)1 81S- kf t d-e_ 04R C-c RCL.E ZIP: SS 3-6 <br /> NAME OF OWNER: \O r+tJ D u c1 PHONE: (home)I-47 3-`'3 -s <br /> _ (work) y 73 5`('-( <br /> al <br /> MAILING ADDRESS: 8"5 t J ch a&- o t< Cc it CCITY: 6)40 J ZIP: s c <br /> CONTRACTOR: ( tJ . )& br( PHONE: L41 6–YL7 ?– <br /> CONTACT PERSON: VA-4-0-E- & i-i-c 1 MOBILE/PAGER: CIGf 1– 72 3 2._ <br /> MAILING ADDRESS: 1 $ ici i CITY: L 2tirz ZIP: 55 3q/ <br /> STATE LICENSE: # 0r7 <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): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 506_ <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: C---6-1-VC— DATE: <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 />