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Total Fee: $ Z „1 4,g9 Date Received: <br /> Entered By: ,CA Permit#: /p 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: //'-/f) Gam,t inzt a S-z-, ZIP: <br /> NAME OF OWNER: , Q c. , /=S� PHONE: (home) '/7? ' SL 5 7 <br /> (work) c5' 2�� �y 4 E 1 <br /> MAILING ADDRESS: f/ /6 t.,, � CITY: C4}cn_„/- <<ta ZIP: S' _s T / 1c/el)-'4” <br /> CONTRACTOR: ,/S- CFS PHONE: <17.2. -/( % 7 <br /> CONTACT PERSON: /�,�; 4 ti /,S 7z, MOBILE/PAGER: <br /> MAILING ADDRESS:22.Z-y AZ,z :e6,,, L , CITY: <( ZIP: S 53 6 <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): e <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ cr—C7 <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 pe ' :nd work is not to start without a <br /> permit; and that the work will be in accordance with ay es plan.AO <br /> �' <br /> APPLICANT'S SIGNATURE: � ' . DATE: P' Y� 2e:f/ <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 />