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Eo <br /> ' Total Fee: $ 7 ." Date Received: <br /> �L ) Entered By: 7777 Permit#: 4-p (E <br /> isjp <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Q0"/J <br /> i^ J All information must be submitted in full before plan review will be started. <br /> 01 (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /0 R-5 �� l}��S 717. ZIP: SS 3() V <br /> II i <br /> NAME OF OWNER: ) (� CJ t �S PHONE: (home) 7,57.91-41 <br /> 7 (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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 ORK(describe in d -etail): Z 2 C) e yr__ I-Rad 0 (.4, <br /> FF�}dd�tt � <br /> i <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 0 <br /> C7� d <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 accordanc- . ' - . .proved plan. <br /> 1V—NOAPPLICANT'S SIGNATU*Ez�_.,1 --�- DATE: /-1V— <br /> NOTE! <br /> TE! 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 /> 5 <br />