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Total Fee: $ Date Received: <br /> 4Entered 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) ,1 ER O' CONTRACTOR <br /> JOB SITE ADDRESS: 129.7 \All 661,..c± ZIP: 3(.. >4 <br /> NAME OF OWNER: (1),CCkL u fl otVJ l ccA PHONE: (home)q72..-367L) <br /> a'(work)�'7(— ? c.to <br /> MAILING ADDRESS: k 79-7 OMik u S-t— I Kai CITY: n o flc ZIP: 55-3c4 <br /> CONTRACTOR: N A PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: N I A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROp1OSED WORK(describe in detail): Qcve_ ( Ccsfi l� <br /> �V1C��C2 C <br /> ic,LV c • e L G�C 2 t� ►��� o �J <br /> } <br /> STOR f L S: l SQ. FEET OF EACH FLOOR: ED c--Dc <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. )" DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 700 © _) <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- with the ap roved plan. f <br /> APPLICANT'S SIGNATURE: J l.; — DATE: YC /;„ / D3 <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 />