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Total Fee: $ -7 93,4 S3 Date Received: d <br /> Entered By: , Permit#: A-O Xl Ipc2 <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 CONTRACTOR <br /> JOB SITE ADDRESS: /166 (7//22//-77.- <br /> NAME <br /> 7/7//-7NAME OF OWNER:��e::" /M/ PHONE: (home) 7C ? '7 7,5' 7 <br /> /!7'/ l!'LLF (work) <br /> MAILING ADDRESS: 9 aiee.%,t ' CITY: C'fjty ZIP: 5-5,2 <br /> CONTRACTOR: 4z-Z2Z--417-- �� �� ~ PHONE: " ?� 76) <br /> CONTACT PERSON: A27 Cl//9' i`'�MOBILE/PAGER: g,� <br /> ' /.61///e) <br /> S S 3 <br /> MAILING ADDRESS: t3 /'l TSS �%` CITY: /.61 e) ZIP: ->"5.- <br /> STATE <br /> 5STATE LICENSE: # /g l( <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X' Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): t"/L' <br /> STORIES: Z SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �5"o,Qde2 <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 SIGNATURL�''% ' `� �;�Z- 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 /> 9 <br />