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4 <br /> Total Fee: $ % C Date Received: <br /> Entered By: C , Permit#: /o20 k7 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) OWNER ORONTRACTOR) <br /> JOB SITE ADDRESS: 93— CA/i //( 2 I) 7v, ZIP: <br /> NAME OF OWNER: , 10 (, (I PHONE: (home) 4 7) Lk' 6 <br /> (work) <br /> MAILING ADDRESS: GI 6 L(; p Q CITY: 0 ( x10, ZIP: <br /> CONTRACTOR: NIS v ( I S l , PHONE: • <br /> CONTACT PERSON: MOBILE/PA_.�R: <br /> MAILING ADDRESS: LI C j 13 (d Nes N. CITY: Cf*". ZIP: <br /> STATE LICENSE: # a Lj '"� L f 6C tl�1 <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): i7 ,-'e/—/ ' kreL ��j'i1,1 e. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,�v� 0 <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• , ��%' /� � DATE: //"--,y2 r/ <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 />