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' Total Fee: $ /9.5. Date Received: � - c ' <br /> Entered By: J;` Permit#: q7.3 7 <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) • •R CONTRACTOR <br /> JOB SITE ADDRESS: /.27,0 / ,WA a/' S t ZIP: G <br /> NAME OF OWNER: .3;m ct�/ti e s 4 PHONE: (home) ./,2 / <br /> (work) <br /> MAILING ADDRESS: is CITY:M IL/itvei ZIP: 53—j <br /> CONTRACTOR: G.k',V ✓ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Aic A/'e PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ft' Land Alteration <br /> PROPOSED WORK(describe in detail): 4)/aee exis ,NJ dee, h//i i : deed // <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 335 <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: N-14-/1--h i 1(:4)1c DATE: 1-/- <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 /> 6 <br />