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Total Fee: $ Date Received: I 6 — ("'2-- <br /> ,Entered <br /> L- <br /> EEntered By: Permit#: <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)_. QWNFR-OR CONTRACTOR <br /> JOB SITE ADDRESS: 1O ) Citi i l Y, u rs f' Trot i ` ZIP: 553 li,z/ <br /> r-- <br /> NAME OF OWNER: JO k h(N T,9 re, �re PHONE: (home) Li 72_,—31 c Ao <br /> , l I__ (work) � ,; - -,_t-179' <br /> MAILING ADDRESS: f o q<) - (}Jit ,c,c irs fi CITY: I\A o u , k ZIP: 6-5?6`t <br /> CONTRACTOR: 4 ,, u re ci 4- c r tic( IE PHONE: <br /> CONTACT PERSON: ,1 n Y MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 6,x c e 1 c r',, r 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 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): $ <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 art without a 0 jCr,y <br /> permit; and that the work will be in accordance with the approved plan. 1 <br /> APPLICANT'S SIGNATURE: A p,,,4 �,,/ DATE: l/-0 - Jo2_. <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 />