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Total Fee: $ � 5oq, 53 Date Received: `S /8 <br /> Entered By: cam- Permit#: ' <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> l/ `, Ucr 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 OIzCONTRACTORJ <br /> JOB SITE ADDRESS: 4-2 / L7 &//t--.0 772- ZIP: S S3 67 cI <br /> NAME OF OWNER: S4 t e y ,f't , eft PHONE: (home) <br /> �e-q (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: /eD% ei&/ 4 47,7PHONE: 9( -070- ‘Z 3 9' <br /> CONTACT PERSON: 404 MOBILE/PAGER: 61..9- 6,450-7/-j <br /> MAILING ADDRESS: ,D'/o v CITY: C/a,;/,a ZIP:r'r 3/7 <br /> STATE LICENSE: # p,s&11 <br /> ARCHITECT/ENGINEER: , S- aic . l J' J PHONE: ' r,:„).- 4/7&-f'72) <br /> MAILING ADDRESS: 2(D( scit ao L 4,✓ CITY: ix cr- ZIP: -5-3-.S 3/ <br /> NAME: i2i4,0.1 REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): /()Eau '� G//I/1J <br /> ('07? LrL Gicits cvo2X ✓,` <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ f s;000 <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 SIGNATURE: 7 - ' i 46 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 /> 5 <br />