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c <br /> . Total Fee: $ ,../4—Y0 • 53 Date Received: �- U ' 2 / <br /> Entered By: /n G �/ Permit#: 5//c /o Z <br /> cCN <br /> w <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: 'I' �' ��LCie/14•" 1/ f?(.- ZIP: <br /> NAME OF OWNER: 12CG'i u sA- s PHONE: (home) 45'2—SFT 7961 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: JCC L SP/v.- e-c141C-09Tj PHONE: z^,S 3---G 2 c <br /> Cl CONTACT PERSON: /?G5:5 MOBILE/PAGER: 6''< 2--3E' 't — 3 7 i 7 <br /> f MAILING ADDRESS: �'' /S' L '4-4Th-B CITY: Or, c- -'4 ZIP: SS <br /> STATE LICENSE: # Pte? <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): pec -37095-)Du-rd <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 4 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land : $ 61(1 <br /> I hereby apply for a building permit and I acknowledge that the informatio . .eve 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:�— �_r DATE: S' <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 />