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Total Fee: $ `'c Date Received: <br /> Entered By: Permit#: '31t)-:1 <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) OWNERCONTRACTOR <br /> JOB SITE ADDRESS: 95' (-011_, 4 u QST ) r,_ ZIP: 573-3 6 V <br /> NAME OF OWNER: (Lf c_s;7"R,►;A- ?-E .C.IC PHONE: (home) (oId--4 `ho <br /> )(/ <br /> C, (w rk) / <br /> MAILING ADDRESS: j I b i ti� c J k CITY: 0j20 J v ZIP: SM---3�,`/ <br /> CONTRACTOR: u t. feu) si6, PHONE: 12S-7-LIST"e)-3 i <br /> CONTACT PERSON: I le re_.t- OBIL AGER: ‘.7c1- 6'3-l 6 67 <br /> MAILING ADDRESS:/CVs cc`,, Tr) ' S rl-CITY:-1 eg_ i1IP: S <br /> STATE LICENSE: # v <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—X— <br /> PRS POSED WORK(desc • in d'taiiA•• i 3 0 0 C.. S ��. _ , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 wi i the ordinances and codes of the City and with <br /> the State Building Code; that I understand .6,'"( is no a permit and work is not to start without a <br /> permit; and that the work will be in a �I ii , e approved plan. <br /> Ali,♦ <br /> APPLICANT'S SIGNA ' yei t„ a , `- DATE: /o t e/5 I <br /> m <br /> NOTE! Parade of Homes events 'qui e Sep, ate .ermit approval by Police Department and <br /> City Council 60 days prior to the eve . Non permitted events will not be allowed. <br />