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r <br /> 02) Total Fee: $ �L/� s Date Received: <br /> eI 0\ Entered By: ,e Permit#: <br /> ,v� 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 O CONTRALTO <br /> JOB SITE ADDRESS: 12 ti--k4A-`.,i2- `( --U1.2 :1/4-‘,L.- ZIP: *611 A <br /> NAME OF OWNER: 4D4. v1-M 0A-1 PHONE: (home)4 -*A2--w2...=6 <br /> (work) Q z.$.12• <br /> MAILING ADDRESS: d °,•-1. l CITY: 1-1‘.4%)....16 ZIP: ,551i- <br /> CONTRACTOR: <br /> 1i-CONTRACTOR: ketics kt QE Vel-tok:Nr ev . PHONE: ck2;z-ei 1 <br /> CONTACT PERSON: 'a; MOBILE/PAGER: 2- ' - <br /> MAILING ADDRESS: k,e yl CITY:6-Igo:: - 114,.-%424E- ZIP: giy'7Aw <br /> STATE LICENSE: # oz.3 - <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): �°"� � ; ��i4 ` �s� cci <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: I z)- <br /> NO. OF BEDROOMS: 3 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 start without a <br /> permit; and that the work will be in accordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: /521 <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 /> 5 <br />