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Total Fee: $ J� (, (J7 Date Received: <br /> Entered By: Permit#: Ja q 3 <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) (WNER)OR CONTRACTOR <br /> JOB SITE ADDRESS: (k 1O \.k t\ ;(,,) I': SO_ ZIP: s 5 -5 ci <br /> NAME OF OWNER: _'•,c i.Yv'e 5 �w,‘(-1 Cc . PHONE: (home) =J C'-53 <br /> (work) `{ 9 -S 2 1 ► V rv\. <br /> MAILING ADDRESS: , �,;�;� , CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <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 >c Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): cc"_ 4 <br /> Ct k ('1� C 04-1 CA-Amb occlit Y\ � 1��' Ip ,s C ` "pci,�t +fi Pct..-1-0) �c}ra c, -: �1_0-• <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 /> APPLICANT'S SIGNATURE: f�,�� DATE: 6, - <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 /> 9 <br />