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Total Fee: $ S I„ 7(� Date Received: q"x a <br /> Entered By: (,)m(-., Permit#: M5,550 <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 /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: _3F00 Gy LST ZIP: <br /> NAME OF OWNER: CJ-i r j' CU i i E r\J PHONE: (home) <br /> (work) (?-5W- 4 7 *3 -- Sy � <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: /;?,c ,emvft44MOBILEIAkGER: a t a- aa4- 3 s 1 Q' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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): PSA?-/ .7-/,, ry moi- e,- !; <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 /> t-�7,G N13 e-- <br /> APPLICANT'S <br /> APPLICANT'S SIGNATURE: o#Qe•vo Z <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 />