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j ' <br /> Total Fee: $ -3 Date Received: / C. " (: `C 7 <br /> Entered By: )2 ) Permit#: _/� <br /> e- <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 OICONTRACTOR� Y~ <br /> JOB SITE ADDRESS: g(�; Cc)(L ZIP: <br /> NAME OF OWNER: .t...1,3. ES-2.c� PHONE: (home)(t,l-(,.,$)('>-^1(4.14(o <br /> (work) <br /> MAILING ADDRESS: Q� L�-��o«y j CITY: c) t,,_g,cZIP: <br /> CONTRACTOR: (`N-14c-- r (i qa-N©L ( &jam P R. PHONE: V 3 2(J. <br /> CONTACT PERSON: Qc6> � �� MOBILE/PAGER:C t a.-_( � - '3 rl( <br /> MAILING ADDRESS: 6,Lk 1'� z► �y.(� �Z ��t ITY: — c.-nt,��`r'� <br /> STATE LICENSE: # NA. 1 f\ <br /> ARCHITECT/ENGINEER: 4 (-tc PHONE: _ <br /> MAILING ADDRESS: CITY: ZIP: <br /> \ r NAME: REGISTRATION# <br /> TYPE OF WORK: New `> Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <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 SIGNAZ'LTR$ ' - —�� DATE: 7 C"_5 <br /> i <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 />