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Total Fee: $ .3 b ��`� Date Received: /z/q /9& <br /> Entered By: (-4 Permit#: 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 Ol@NTRACTOR <br /> JOB SITE ADDRESS: 2, r) a 5 v3KrE Oak G1 -CLT ZIP: 5535 Co <br /> NAME OF OWNER: ,)0)-1-1-) •Ly u o U v J PHONE: (home) '1)93-94419 <br /> (work) <br /> MAILING ADDRESS: ?7% 5 (...)i-hrgroX - C- tcLE CITY: LONG 1.4-E.- ZIP: 55'3 5� <br /> CONTRACTOR: 1AJ ,T1 - Sc PHONE: I) r7(>(- 8 2/12— <br /> CONTACT PERSON: .A 1�E ©S iY2w) MOBILE/PAGER: cp ) - 723 <br /> MAILING ADDRESS: \g'£S45 /-2ure.s Re), CITY: W z.ATA ZIP: 5 539 <br /> STATE LICENSE: # 19a a r) <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): ,, ,pp C ,11-f-A&Eia <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: S 7 Co <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. x, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ "12-1 Oo0 <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: 1'2-- 7- 9 <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 /> 6 <br />