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Total Fee: $ Date Received: <br /> Entered By: Permit#: /0039 <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /Z C 7 ( ) i 7g/a i L- ZIP: S 16'i <br /> NAME OF OWNER: PP-TTY S PHONE: (home) .4 7Z 51-;i e <br /> (work) <br /> MAILING ADDRESS: /29, W;L6 j,µ,ms i 1'nn:1. CITY: /la N ZIP: <br /> CONTRACTOR: r�"1 P 14s C r. c, PHONE: ``i 7 z` 9 <br /> CONTACT PERSON: pc rm. 01•44 04-5 MOBILE/PAGER: P(J-/9 2C- <br /> MAILING <br /> C-MAILING ADDRESS: q CITY: o ZIP: S '.5 La, <br /> STATE LICENSE: # 0 O 12, -73 <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): K 2 00 4 k e;r',e <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ G(2 <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: '' -� t DATE: 3 2 c' <br /> NOTE! Parade Qf 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 />